Most Relevant Information
Provider Data
| NPI Number: | 1003383498 |
| Provider Name: | LAURA ANN LONG |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CP60071429 |
Most Important Dates
| Enumeration Date: | 10/24/2018 |
| Last Updated: | 10/24/2018 |
Provider Practice Location
44 E COZZA DR
SPOKANE
WA
992086514
Practice Location Phone/Fax
| Phone: | 5093256800 |
| Fax: | 5093265025 |
Provider Mailing Location
44 E COZZA DR
SPOKANE
WA
992086514
Provider Mailing Phone/Fax
| Phone: | 5093256800 |
| Fax: | 5093265025 |