person
Mr. Wallace J Long, CASAC
Addiction (Substance Use Disorder) Counselor in Lancaster, New York
NPI 1518286848

Wallace J Long is an Addiction (Substance Use Disorder) Counselor based in Lancaster, NY and is specialized in Addiction (Substance Use Disorder). Wallace J Long practices in Lancaster, NY and has the professional credentials of CASAC. The NPI Number for Wallace J Long is 1518286848 and holds a License No. 21194 (New York).

The current practice location address for Wallace J Long is 11 W Main St, Lancaster, NY and can be reached out via phone at 716-681-4957 and via fax at 716-681-4959.

Location: 11 W Main St, Lancaster, NY, 14086-2100
person
Provider Profile Details
NPI Number
1518286848
Provider Name
Wallace J Long
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
11 W Main St, Lancaster, NY, 14086-2100
Phone Number
716-681-4957
Fax Number
716-681-4959
Provider Enumeration Date
05/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 W Main St
City
State
Zip
14086-2100
Phone Number
716-681-4957
Fax Number
716-681-4959
person
Provider Business Mailing Address Details
Address
11 W Main St
City
State
Zip
14086-2100
Phone Number
716-681-4957
Fax Number
716-681-4959
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
21194 (New York)
Definition
Definition to come...
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