person
Mrs. Shanel Rose Long, LSAC
Addiction (Substance Use Disorder) Counselor in Provo, Utah
NPI 1184926214

Shanel Rose Long is an Addiction (Substance Use Disorder) Counselor based in Elk Ridge, UT and is specialized in Addiction (Substance Use Disorder). Shanel Rose Long practices in Provo, UT and has the professional credentials of LSAC. The NPI Number for Shanel Rose Long is 1184926214 and holds a License No. 6500376-6006 (Utah).

The current practice location address for Shanel Rose Long is 151 S University Ave, Provo, UT and can be reached out via phone at 801-851-7127. You can also correspond with Shanel Rose Long through the mailing address at 794 N LOAFER CANYON RD, ELK RIDGE, UT - 84651-8572 (mailing address contact number: 801-885-7372).

Location: 151 S University Ave, Provo, UT, 84651-8572
person
Provider Profile Details
NPI Number
1184926214
Provider Name
Shanel Rose Long
Credential
LSAC
Provider Entity Type
Individual
Gender
Female
Address
151 S University Ave, Provo, UT, 84651-8572
Phone Number
801-851-7127
Fax Number
Provider Enumeration Date
11/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
151 S University Ave
City
State
Zip
84601-4427
Phone Number
801-851-7127
Fax Number
person
Provider Business Mailing Address Details
Address
151 S University Ave
City
State
Zip
84601-4427
Phone Number
801-851-7127
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6500376-6006 (Utah)
Definition
Definition to come...
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