Shannon M Long
Shannon M Long is a Counseling Psychologist in Ada, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2022
Practice location Address checks out
11081 County Road 3570Ada, OK 74820-0606
Phone: (580) 279-9656
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Specialties & licences
| Counseling Psychologist (primary) | Taxonomy 103TC1900X (OK) |
|---|
Record details
| NPI number | 1679216055 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | April 14, 2022 |
| Certification date | April 14, 2022 |
| Mailing address | 11081 County Road 3570, Ada, OK 74820-0606 |
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