Shannon Long, LPC
NPI #1184176554 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1184176554
- Entity Type
- Individual
- Name
- Shannon Long, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Nov 1, 2016
- Last Updated
- Sep 8, 2021
Practice Location
- Address
- 4015 BELLE TERRE BLVD
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579-4917
- Phone
- (843) 410-8845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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