Individual
MR. ANTHONY WAYNE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
4000 E MAIN ST, COLUMBUS, OH 43213-2950
(614) 334-6903
Mailing address
4214 E MAIN ST, WHITEHALL, OH 43213-3028
(614) 483-8055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.178725
OH
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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