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Organization

BRAD DELONG THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRADLY DELONG LPCC (PRESIDENT/THERAPIST)
(612) 799-6011
Entity
Organization

Contact information

Practice address
4900 HIGHWAY 169 N STE 324, NEW HOPE, MN 55428-4046
(612) 234-2082
Mailing address
5424 UNITY AVE N, CRYSTAL, MN 55429-3266
(612) 799-6011

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
09/20/2024
Last updated
09/20/2024
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