Shane Long, L.M.F.T

NPI 1447521356 · on the registry since 2012

Practice

Address: 516 Mission House Ln
New Brighton, MN 55112
Phone: (651) 636-5120
Fax: (651) 636-5124
Organisation at this address: North Central Ministry Development Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota