person
Benjamin Long
Mental Health Counselor in Waconia, Minnesota
NPI 1801276563

Benjamin Long is a Mental Health Counselor based in Waconia, MN and is specialized in Mental Health. Benjamin Long practices in Waconia, MN. The NPI Number for Benjamin Long is 1801276563 and holds a License No. CC01004 (Minnesota).

The current practice location address for Benjamin Long is 540 E 1St St, Waconia, MN and can be reached out via phone at 952-442-4437 and via fax at 952-442-3084.

Location: 540 E 1St St, Waconia, MN, 55387-1600
person
Provider Profile Details
NPI Number
1801276563
Provider Name
Benjamin Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
540 E 1St St, Waconia, MN, 55387-1600
Phone Number
952-442-4437
Fax Number
952-442-3084
Provider Enumeration Date
06/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
540 E 1St St
City
State
Zip
55387
Phone Number
952-442-4437
Fax Number
952-442-3084
person
Provider Business Mailing Address Details
Address
540 E 1St St
City
State
Zip
55387
Phone Number
952-442-4437
Fax Number
952-442-3084
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC01004 (Minnesota)
Definition
Definition to come...
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