MARK DELONG

BLOOMINGTON, IN
NPI1760503718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  C1192)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
Mr. MARK DELONG CADAC II, MSEd., CCS
645 N WALNUT ST
BLOOMINGTON, IN 47404-3846
Phone number: 812-336-3570
Mailing Address
Mr. MARK DELONG CADAC II, MSEd., CCS
653 W GREEN RD
BLOOMINGTON, IN 47403-4326
Phone number: 812-699-0144
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