Individual provider · Type 1 NPI

Eric Clinton Wallace

Addiction (Substance Use Disorder) Counselor · West Union, OH

NPI number 1366955585 Active

Practice location

247 Cic Blvd
West Union, OH 45693-7512

Fax (513) 694-0168

Mailing address

6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.164839 (OH)
Mental Health Counselor 101YM0800XQMHS (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.168404 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366955585

Eric Clinton Wallace's National Provider Identifier is 1366955585, issued on Nov 9, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Union, OH. The record was last updated on May 26, 2023.