person
Mr. Mark Delong, CADACII,MSED,CCS
Addiction (Substance Use Disorder) Counselor in Bloomington, Indiana
NPI 1760503718

Mark Delong is an Addiction (Substance Use Disorder) Counselor based in Bloomington, IN and is specialized in Addiction (Substance Use Disorder). Mark Delong practices in Bloomington, IN and has the professional credentials of CADACII,MSED,CCS. The NPI Number for Mark Delong is 1760503718 and holds a License No. C1192 (Indiana).

The current practice location address for Mark Delong is 645 N Walnut St, Bloomington, IN and can be reached out via phone at 812-336-3570 and via fax at 812-336-9010. You can also correspond with Mark Delong through the mailing address at 653 W GREEN RD, BLOOMINGTON, IN - 47403-4326 (mailing address contact number: 812-699-0144).

Location: 645 N Walnut St, Bloomington, IN, 47403-4326
person
Provider Profile Details
NPI Number
1760503718
Provider Name
Mark Delong
Credential
CADACII,MSED,CCS
Provider Entity Type
Individual
Gender
Male
Address
645 N Walnut St, Bloomington, IN, 47403-4326
Phone Number
812-336-3570
Fax Number
812-336-9010
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
645 N Walnut St
City
State
Zip
47404-3846
Phone Number
812-336-3570
Fax Number
812-336-9010
person
Provider Business Mailing Address Details
Address
653 W Green Rd
City
State
Zip
47403-4326
Phone Number
812-699-0144
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C1192 (Indiana)
Definition
Definition to come...
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