# COUNSELING SERVICES OF LONGMONT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609224690
- **Authorized official:** JIMMY DE HERRERA (OWNER)
- **Authorized official phone:** (303) 772-3853

## Contact information

- **Practice address:** 1129 FRANCIS ST, LONGMONT, CO 80501-3703
- **Practice address phone:** (303) 772-3853
- **Practice address fax:** (303) 772-1718
- **Mailing address:** 1129 FRANCIS ST, LONGMONT, CO 80501-3703
- **Mailing address phone:** (303) 772-3853
- **Mailing address fax:** (303) 772-1718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 178800 | CO | Yes |

## Other

- **Enumeration date:** 05/31/2016
- **Last updated:** 05/31/2016