Individual
HEATHER LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 S MADISON ST STE C, DENVER, CO 80209-3019
(304) 279-9460
Mailing address
121 S MADISON ST STE C, DENVER, CO 80209-3019
(304) 279-9460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0022812
CO
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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