| Mr Wallace J Long, CASAC | |
|
11 W Main St, Lancaster, NY 14086-2100 | |
| (716) 681-4957 | |
| (716) 681-4959 |
| Full Name | Mr Wallace J Long |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11 W Main St, Lancaster, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518286848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 21194 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wallace J Long, CASAC 11 W Main St, Lancaster, NY 14086-2100 Ph: (716) 681-4957 | Mr Wallace J Long, CASAC 11 W Main St, Lancaster, NY 14086-2100 Ph: (716) 681-4957 |
Ashley Tom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Greenbriar Dr, Lancaster, NY 14086 Phone: 716-683-7389 | |
Robert Schenk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 W Main St, Lancaster, NY 14086 Phone: 716-681-5077 | |
Susan Mowers, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 W Main St, Lancaster, NY 14086 Phone: 716-681-5077 Fax: 716-681-5079 | |
Mrs. Jessica Ann Pazian, M.A, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 Tiffany Ln, Lancaster, NY 14086 Phone: 716-957-7111 | |
Devita Bell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 W Main St, Lancaster, NY 14086 Phone: 716-681-4957 | |
Kofi Brenya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5828 Broadway St, Lancaster, NY 14086 Phone: 716-616-9079 | |
Mrs. Michelle W Biegner, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 11 West Main Street, Suite A, Lancaster, NY 14086 Phone: 716-681-6611 Fax: 716-681-6613 |