| Mrs Shanel Rose Long, LSAC | |
|
151 S University Ave, Provo, UT 84601-4427 | |
| (801) 851-7127 | |
| Not Available |
| Full Name | Mrs Shanel Rose Long |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 151 S University Ave, Provo, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184926214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6500376-6006 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shanel Rose Long, LSAC 794 N Loafer Canyon Rd, Elk Ridge, UT 84651-8572 Ph: (801) 885-7372 | Mrs Shanel Rose Long, LSAC 151 S University Ave, Provo, UT 84601-4427 Ph: (801) 851-7127 |
Susan Easton Black, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1190 N 900 E, Provo, UT 84604 Phone: 801-422-7620 Fax: 801-422-0165 | |
Daniel Howell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N 500 W, Provo, UT 84601 Phone: 801-375-4240 Fax: 801-375-4241 | |
Vicki Goodman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N 500 W, Provo, UT 84601 Phone: 801-420-0465 Fax: 801-375-4241 | |
Colbey Bentley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 N 1850 W, Provo, UT 84604 Phone: 801-375-4240 Fax: 801-375-4241 | |
Maurhy Alfredo Meneses, Counselor Medicare: Not Enrolled in Medicare Practice Location: 836 N 1375 W, Provo, UT 84604 Phone: 801-375-2523 Fax: 801-375-2523 | |
David Skiles, CMHC Counselor Medicare: Medicare Enrolled Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760 Fax: 801-373-0639 | |
Scott D Owen, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3651 N 100 E Ste 100, Provo, UT 84604 Phone: 801-356-0014 Fax: 801-373-3655 |