Individual provider · Type 1 NPI
Chauncey Wallace, CDCA
Addiction (Substance Use Disorder) Counselor · Marion, OH
NPI number
1215407945
Active
Practice location
284 S State St
Marion, OH 43302-3940
Fax (740) 375-5583
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 050034 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1215407945
Chauncey Wallace, CDCA's National Provider Identifier is 1215407945, issued on Nov 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marion, OH. The record was last updated on Nov 26, 2018.