Long, Jennifer Ann

Long, Jennifer Ann is an individual health care provider with primary practice located at 1351 Frost Avenue Senior Recovery Program, St. Paul MN 55109. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Long, Jennifer Ann can be contacted via phone (651) 773-0473.

Contact Information

Primary practice address
1351 Frost Avenue Senior Recovery Program St. Paul MN 55109
Phone: (651) 773-0473
Fax: (651) 773-9298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301686 Minnesota

Profile Details

NPI number 1831334952
LBN Legal business name Long, Jennifer Ann
Credentials MA, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2008
Last updated Jul 16th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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