Individual provider · Type 1 NPI
Traci Lynne Wardlow, CDCA
Addiction (Substance Use Disorder) Counselor · Georgetown, OH
NPI number
1083366116
Active
Practice location
421 Home St
Georgetown, OH 45121-1407
Fax (937) 378-8051
Mailing address
615 Elsinore Pl Ste 200
Cincinnati, OH 45202-1457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.179499 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1083366116
Traci Lynne Wardlow, CDCA's National Provider Identifier is 1083366116, issued on Jan 20, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Georgetown, OH. The record was last updated on Jan 20, 2022.