Long, Keith David

Long, Keith David is an sole proprietor health care provider with primary practice located at 2323 South Troy Street Bldg 3, Suite 108, Aurora CO 80014-1939. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Long, Keith David can be contacted via phone (303) 750-5435.

Contact Information

Primary practice address
2323 South Troy Street Bldg 3, Suite 108 Aurora CO 80014-1939
Phone: (303) 750-5435
Fax: (303) 750-5435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC.0003080 Colorado

Profile Details

NPI number 1942327895
LBN Legal business name Long, Keith David
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2007
Last updated Sep 21st, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942327895 NPPES
Colorado Other 11365592 COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE

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