ANTHONY WAYNE LONG

COLUMBUS, OH
NPI1396409595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.178725)
Enumeration Date2021-10-25
Last Update Date2021-10-25
Business Address
Mr. ANTHONY WAYNE LONG CDCA
4000 E MAIN ST
COLUMBUS, OH 43213-2950
Phone number: 614-334-6903
Mailing Address
Mr. ANTHONY WAYNE LONG CDCA
4214 E MAIN ST
WHITEHALL, OH 43213-3028
Phone number: 614-483-8055
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