person
Shannon Long, LPC
Mental Health Counselor in Myrtle Beach, South Carolina
NPI 1184176554

Shannon Long is a Mental Health Counselor based in Myrtle Beach, SC and is specialized in Mental Health. Shannon Long practices in Myrtle Beach, SC and has the professional credentials of LPC. The NPI Number for Shannon Long is 1184176554 and holds a License No. 6217 (South Carolina).

The current practice location address for Shannon Long is 4015 Belle Terre Blvd, Myrtle Beach, SC and can be reached out via phone at 843-410-8845.

Location: 4015 Belle Terre Blvd, Myrtle Beach, SC, 29577-5754
person
Provider Profile Details
NPI Number
1184176554
Provider Name
Shannon Long
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4015 Belle Terre Blvd, Myrtle Beach, SC, 29577-5754
Phone Number
843-410-8845
Fax Number
Provider Enumeration Date
11/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4015 Belle Terre Blvd
City
State
Zip
29579-4917
Phone Number
843-410-8845
Fax Number
person
Provider Business Mailing Address Details
Address
4015 Belle Terre Blvd
City
State
Zip
29579-4917
Phone Number
843-410-8845
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
719396 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6217 (South Carolina)
Definition
Definition to come...
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