# DELONG, PETERSON & ASSOCIATES, CLINICAL CONSULTING SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437633484
- **Authorized official:** DR. RONALD L DELONG PH.D. (OWNER)
- **Authorized official phone:** (419) 305-7213

## Contact information

- **Practice address:** 607 S BROADWAY ST, GREENVILLE, OH 45331-1929
- **Practice address phone:** (419) 305-7213
- **Practice address fax:** (937) 547-9175
- **Mailing address:** 607 S BROADWAY ST, GREENVILLE, OH 45331-1929
- **Mailing address phone:** (419) 305-7213
- **Mailing address fax:** (937) 547-9175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2018
- **Last updated:** 09/16/2018