Keith Long, Lpc, LLC

NPI #1992252290 in Aurora, Colorado

Provider Information

NPI Number: 1992252290
Entity Type: Organization
Organization Name: Keith Long, Lpc, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 2, 2016
Last Updated: Sep 21, 2016

Practice Location

Address: 2323 S TROY ST
Address 2: BLDG. 3, SUITE 108
City: Aurora
State: Colorado
ZIP Code: 80014-1946
Phone: (303) 750-5435

Authorized Official

Name: KEITH DAVID LONG, LPC
Title: LICENSED PROFESSIONAL COUNSELOR
Phone: (303) 750-5435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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