Matthew Long, LADC, LPCC
Counselor, Mental Health in Saint Paul, MN. Individual provider (NPI-1).
NPI number1710697073
StatusActive
Last updated in NPPESMar 13, 2025
Details
- NPI
- 1710697073
- Entity type
- Individual (NPI-1)
- Name
- Matthew Long
- Credential
- LADC, LPCC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2022
- Certification date
- Mar 13, 2025
- Last updated
- Mar 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | cc03618 | MN | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 305742 | MN | |
| 101YM0800X | Counselor, Mental Health | 3618 | MN |
Practice location
90 Dale St SSaint Paul, MN 55102-2812
Phone 651-278-7980
Mailing address
90 Dale St SSaint Paul, MN 55102-2812
Phone 651-278-7980
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