Doctor Name: | MRS. LILIAN CARBONELL-LONG |
NPI Number: | 1083876817 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 26029 |
Business Practice Address: | 1546 Live Oak Rd Castle Rock, CO - 801048555 |
Business Phone Number: | 7202018538 |
Business Fax Number: | |
Mailing Address: | 1546 Live Oak Rd, CASTLE ROCK |
State: | CO |
Postal Code: | 801048555 |
Phone Number: | 3039558832 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2008 |
NPI Last Update Date: | 07/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 26029 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |