Mr. Wallace J Long, CASAC
Mr. Wallace J Long, CASAC is an Addiction (Substance Use Disorder) Counselor in Lancaster, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2010
Practice location Address checks out
11 W Main StLancaster, NY 14086-2100
Phone: (716) 681-4957
Fax: (716) 681-4959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 21194 (NY) |
|---|
Record details
| NPI number | 1518286848 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CASAC |
| Sole proprietor | Yes |
| NPI enumerated | May 26, 2010 |
| Last updated in NPPES | May 26, 2010 |
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