Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK DELONG, CADAC II, MSED., CCS
ActiveAddiction (Substance Use Disorder) Counselor · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1760503718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2007 (19.059487819069 yrs)
- Last Updated
- Jul 8, 2007
- License
-
C1192 (IN)
Practice Information
- Address
-
645 N WALNUT STBLOOMINGTON, IN, 474043846Browse IN providers · Browse ZIP 47404
- Phone
- 8123363570
- Fax
- 8123369010
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| NICOLE WISCOMBE | MSW | 1265569784 |
| MS. ELIZABETH ANNE YORK | LCSW | 1730213232 |
| MR. ERIK DAVID BURNS | ADICTIONS COUNSELOR | 1679734768 |
| MARIA L RODITIS | MA | 1639487267 |
| JAMIE L RESSEGUIE | — | 1679879126 |
| AZAR NIKRAVESH | — | 1861777336 |
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.