person
Vince Long, SAC
Addiction (Substance Use Disorder) Counselor in Shawano, Wisconsin
NPI 1881356822

Vince Long is an Addiction (Substance Use Disorder) Counselor based in Shawano, WI and is specialized in Addiction (Substance Use Disorder). Vince Long practices in Shawano, WI and has the professional credentials of SAC. The NPI Number for Vince Long is 1881356822 and holds a License No. 16456-131 (Wisconsin).

The current practice location address for Vince Long is 100 County Road B, Shawano, WI and can be reached out via phone at 715-524-2161.

Location: 100 County Road B, Shawano, WI, 54166-7072
person
Provider Profile Details
NPI Number
1881356822
Provider Name
Vince Long
Credential
SAC
Provider Entity Type
Individual
Gender
Male
Address
100 County Road B, Shawano, WI, 54166-7072
Phone Number
715-524-2161
Fax Number
Provider Enumeration Date
10/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 County Road B
City
State
Zip
54166-7072
Phone Number
715-524-2161
Fax Number
person
Provider Business Mailing Address Details
Address
100 County Road B
City
State
Zip
54166-7072
Phone Number
715-524-2161
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16456-131 (Wisconsin)
Definition
Definition to come...
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