Individual provider · Type 1 NPI

Mark Delong, CADAC II, MSED., CCS

Addiction (Substance Use Disorder) Counselor · Bloomington, IN

NPI number 1760503718 Active

Practice location

645 N Walnut St
Bloomington, IN 47404-3846

Call (812) 336-3570 Map

Fax (812) 336-9010

Mailing address

653 W Green Rd
Bloomington, IN 47403-4326

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC1192 (IN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1760503718

Mark Delong, CADAC II, MSED., CCS's National Provider Identifier is 1760503718, issued on Apr 3, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, IN. The record was last updated on Jul 8, 2007.