Individual provider · Type 1 NPI

Justin Delong, LICDC/LSW

Addiction (Substance Use Disorder) Counselor · Georgetown, OH

NPI number 1285309096 Active

Practice location

421 Home St
Georgetown, OH 45121-1407

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XS.2308896 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.162434 (OH)

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About NPI 1285309096

Justin Delong, LICDC/LSW's National Provider Identifier is 1285309096, issued on Aug 13, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Georgetown, OH. The record was last updated on May 19, 2025.