Individual provider · Type 1 NPI

Benjamin Long

Mental Health Counselor · Waconia, MN

NPI number 1801276563 Active

Practice location

540 E 1st St
Waconia, MN 55387

Fax (952) 442-3084

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC01004 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1801276563

Benjamin Long's National Provider Identifier is 1801276563, issued on Jun 8, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waconia, MN. The record was last updated on Aug 16, 2018.