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Organization
SEED OF CHANGE COUNSELING AND NEUROTHERAPY, PLLC
Active
Organization
SEED OF CHANGE COUNSELING AND NEUROTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY LONG PSY.D, LPC (OWNER/THERAPIST)
(719) 629-8574
Entity
Organization
Contact information
Practice address
2906 BEACON ST STE B, COLORADO SPRINGS, CO 80907-6193
(719) 629-8574
(719) 213-2839
Mailing address
2906 BEACON ST STE B, COLORADO SPRINGS, CO 80907-6193
(719) 629-8574
(719) 213-2839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012243
CO
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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