Alex Long

NPI #1972910800 in Pueblo, Colorado

Provider Information

NPI Number
1972910800
Entity Type
Individual
Name
Alex Long
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Enumeration Date
Jul 11, 2014
Last Updated
Jul 11, 2014

Practice Location

Address
1026 W ABRIENDO AVE
City
Pueblo
ZIP Code
81004-1128
Phone
(719) 545-2746

Specialties & Taxonomy Codes

Specialty
Counselor

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