Kenneth Long, BMS

NPI #1255715660 in Raton, New Mexico

Provider Information

NPI Number: 1255715660
Entity Type: Individual
Name: Kenneth Long, BMS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BMS
Enumeration Date: Jul 15, 2015
Last Updated: Jul 15, 2015

Practice Location

Address: 1273 S 2ND ST
City: Raton
State: New Mexico
ZIP Code: 87740-2234
Phone: (575) 445-3557

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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