Individual
MOLLY R LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 E 12TH AVE, DENVER, CO 80220-2415
(303) 443-8500
Mailing address
4455 E 12TH AVE, DENVER, CO 80220-2415
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001969
CO
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/22/2008
Last updated
03/02/2022
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