MR. Shane Raymond Long, L.M.F.T.

NPI #1447521356 in New Brighton, Minnesota

Provider Information

NPI Number
1447521356
Entity Type
Individual
Name
MR. Shane Raymond Long, L.M.F.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Credential
L.M.F.T.
Enumeration Date
Jan 24, 2012
Last Updated
Jan 24, 2012

Practice Location

Address
516 MISSION HOUSE LN
ZIP Code
55112-2571
Phone
(651) 636-5120

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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