Long, Annette

Long, Annette is an individual health care provider with primary practice located at 924 Indiana Ave , Pueblo CO 81004-3747. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Long, Annette can be contacted via phone (719) 564-9039.

Contact Information

Primary practice address
924 Indiana Ave Pueblo CO 81004-3747
Phone: (719) 564-9039
Fax: (719) 561-8752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 676 Colorado

Profile Details

NPI number 1467474742
LBN Legal business name Long, Annette
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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