Individual
ANNA MARIE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10327 WASHINGTON ST, THORNTON, CO 80229-2003
(720) 379-6995
Mailing address
4512 CONTINENTAL HTS APT 215, COLORADO SPRINGS, CO 80924-1240
(216) 905-4015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CO
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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