Search › Minnesota › 101YA0400X
Jennifer Long, MA, LADC
NPI 1831334952 · on the registry since 2008
Practice
- Address
- 1351 Frost Avenue
Senior Recovery Program
St. Paul, MN 55109 - Phone
- (651) 773-0473
- Fax
- (651) 773-9298
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-07-16
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