PENNY KATHLEEN LONG CDPT
NPI 1720561806
Counselor - Addiction (Substance Use Disorder) in Chehalis, WA

Active since September 13, 2018
121 NW CHEHALIS AVE, CHEHALIS, WA 98532(360) 740-9767 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Penny Kathleen Long Cdpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNY KATHLEEN LONG CDPT (NPI 1720561806) is an individual addiction (substance use disorder) provider in Chehalis, Washington, licensed in Washington (60804582) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1720561806
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePENNY KATHLEEN LONGCredential: CDPT
Location Address121 NW CHEHALIS AVEChehalis, WA 98532-2010
Mailing Address121 Nw Chehalis AveChehalis, WA 98532-2010 · (360) 740-9767
Sole ProprietorNo
Enumeration DateSeptember 13, 2018
NPI 1720561806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · 60804582
121 NW CHEHALIS AVE, Chehalis, WA 98532

Other Identifiers 1

Other60804582WA · Dept Of Health

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
121 NW CHEHALIS AVE
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
121 NW CHEHALIS AVE
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
121 NW CHEHALIS AVE
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
121 NW CHEHALIS AVE
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
121 NW CHEHALIS AVE
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
121 NW CHEHALIS AVE
CHEHALIS, WA 98532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penny Long's NPI number?

The NPI number for Penny Long is 1720561806. It was assigned to this individual provider in the NPPES registry on September 13, 2018.

Where is Penny Long located?

Penny Long practices at 121 NW Chehalis Ave, Chehalis, WA 98532. The listed phone number is (360) 740-9767.

What is Penny Long's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Penny Long was last updated on September 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.