Organization
JOHNSON-LONG CLINICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE A. LONG LMFT, LADAC (SOLE MEMBER)
(505) 360-5222
Entity
Organization
Contact information
Practice address
1807 2ND ST STE 44, SANTA FE, NM 87505-3499
(505) 360-5222
(866) 539-7654
Mailing address
PO BOX 29001, SANTA FE, NM 87592-9001
(505) 360-5222
(866) 539-7654
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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