| Vince Long, SAC | |
|
100 County Road B, Shawano, WI 54166-7072 | |
| (715) 524-2161 | |
| Not Available |
| Full Name | Vince Long |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 100 County Road B, Shawano, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881356822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16456-131 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vince Long, SAC 100 County Road B, Shawano, WI 54166-7072 Ph: () - | Vince Long, SAC 100 County Road B, Shawano, WI 54166-7072 Ph: (715) 524-2161 |
Mrs. Tracy Van Ert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 Fax: 715-526-5542 | |
Lavonne Jacobson, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 Fax: 715-526-5542 | |
Mrs. Katie Jane Bartell, MA, LPC, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 Fax: 715-526-5542 | |
Donna M Jashinsky, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 E Elizabeth St, Shawano, WI 54166 Phone: 715-851-8550 | |
Katie Marie Marquardt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Lakeland Rd, Shawano, WI 54166 Phone: 715-526-5547 | |
Tammy Marie Mott-hoffman, LPC Counselor Medicare: Medicare Enrolled Practice Location: 324 S Andrews St, Shawano, WI 54166 Phone: 715-524-4840 | |
Charles E Lamarche, ACSW LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Green Bay St, Ste 201, Shawano, WI 54166 Phone: 715-526-5466 Fax: 715-526-5545 |