KEITH DAVID LONG

AURORA, CO
NPI1942327895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  LPC.0003080)
Enumeration Date2007-03-24
Last Update Date2016-09-21
Business Address
Mr. KEITH DAVID LONG LPC
2323 SOUTH TROY STREET BLDG 3, SUITE 108
AURORA, CO 80014-1939
Phone number: 303-750-5435
Mailing Address
Mr. KEITH DAVID LONG LPC
9085 E MISSISSIPPI AVE APT. N107
DENVER, CO 80247-2068
Phone number: 303-750-5435
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