Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WALLACE J LONG, CASAC
Active Sole ProprietorMR. WALLACE J LONG, CASAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LANCASTER, New York. NPI 1518286848 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LANCASTER, NY
Registration Details
- NPI Number
- 1518286848
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2010 (16.192344315259 yrs)
- Last Updated
- May 26, 2010
- License
-
21194 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11 W MAIN STLANCASTER, NY, 140862100Browse NY providers · Browse ZIP 14086
- Phone
- 7166814957
- Fax
- 7166814959
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LANCASTER, NY
| Name | Credential | NPI |
|---|---|---|
| PAMELA A PERNICK | CASAC | 1457559916 |
| MR. TYRON BERNARD HOSKIN SR. | CASAC | 1770781924 |
| MS. RENEE ANN KEETON | CASAC | 1699974451 |
| DEVITA BELL | — | 1134389158 |
| TONYA AUST | CASAC-T | 1740440478 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.