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1730675497
TATJANA A LONG
SANTA FE, NM
NPI
1730675497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NM CSA0195171)
Enumeration Date
2018-07-06
Last Update Date
2020-12-29
Business Address
TATJANA A LONG LMHC, LSAA, ATR-P
1264 RODEO RD
SANTA FE, NM 87505-6816
Phone number: 505-982-2129
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Mailing Address
TATJANA A LONG LMHC, LSAA, ATR-P
1264 RODEO RD
SANTA FE, NM 87505-6816
Phone number: 505-982-2129
Copy
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