Long, Shanel Rose

Long, Shanel Rose is an sole proprietor health care provider with primary practice located at 151 S University Ave , Provo UT 84601-4427. 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, Shanel Rose can be contacted via phone (801) 851-7127.

Contact Information

Primary practice address
151 S University Ave Provo UT 84601-4427
Phone: (801) 851-7127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6500376-6006 Utah

Profile Details

NPI number 1184926214
LBN Legal business name Long, Shanel Rose
Credentials L.S.A.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2010
Last updated Nov 22nd, 2010 - about 14 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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