Shannon M Long

NPI #1679216055 in Ada, Oklahoma

Provider Information

NPI Number
1679216055
Entity Type
Individual
Name
Shannon M Long
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Counseling
Enumeration Date
Apr 14, 2022
Last Updated
Apr 14, 2022

Practice Location

Address
11081 COUNTY ROAD 3570
City
Ada
ZIP Code
74820-0606
Phone
(580) 279-9656

Specialties & Taxonomy Codes

Specialty
Psychologist - CounselingCounseling

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Organizations

Provider Name
Mccall's Chapel School INC

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