Individual
DR. VONDA OLSON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
916 VASSAR NE, ALBUQUERQUE, NM 87106
(505) 265-4542
(505) 265-4542
Mailing address
916 VASSAR NE, ALBUQUERQUE, NM 87106
(505) 265-4542
(505) 265-4542
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1571
NM
106H00000X
Marriage & Family Therapist
1571
NM
Other
Enumeration date
11/29/2006
Last updated
09/11/2007
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