National Provider Identifier
Wallace J Long, CASAC
Wallace J Long, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Lancaster, NY and a listed phone number of (716) 681-4957.
Source: public NPPES record, last updated May 26, 2010. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1518286848
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- May 26, 2010
- Last Updated
- May 26, 2010
Practice Location
- 11 W Main St
- Lancaster, NY 14086-2100
Phone: (716) 681-4957
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Wallace Long is a Lancaster, New York-based counselor identified as a CASAC, a New York addiction-services credential overseen by the state Office of Addiction Services and Supports. Publicly available sources did not show a stronger health-system affiliation, faculty role, research profile, or practice history.
Full Record
- NPI
- 1518286848
- Entity Type
- Individual
- Last Name
- Long
- First Name
- Wallace
- Middle Name
- J
- Name Prefix
- Mr.
- Credential
- CASAC
- Mailing Street Address
- 11 W Main St
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-2100
- Mailing Country
- US
- Mailing Phone
- (716) 681-4957
- Mailing Fax
- (716) 681-4959
- Practice Street Address
- 11 W Main St
- Practice City
- Lancaster
- Practice State
- NY
- Practice ZIP Code
- 14086-2100
- Practice Country
- US
- Practice Phone
- (716) 681-4957
- Practice Fax
- (716) 681-4959
- Enumeration Date
- May 26, 2010
- Last Updated
- May 26, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)