MR. MARK DELONG CADAC II MSED. CCS NPI 1760503718

NPI Information

  • NPI: 1760503718
  • Provider Name: MR. MARK DELONG, CADAC II, MSED., CCS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 645 N WALNUT ST
    BLOOMINGTON, IN
    ZIP 47404
  • Phone: (812) 336-3570

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NPI Details

MR. Mark Delong, CADAC II, MSED., CCS is an addiction (substance use disorder) counselor in Bloomington, IN. MR. Mark Delong, CADAC II, MSED., CCS NPI is 1760503718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

645 N WALNUT ST
BLOOMINGTON, IN
ZIP 47404-846
Phone: (812) 336-3570
Fax: (812) 336-9010

The enumeration date for this NPI number is 4/3/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)C1192INDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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