Individual provider · Type 1 NPI

Jacqueline Jill Clagg, CDCA

Addiction (Substance Use Disorder) Counselor · Gallipolis, OH

NPI number 1366955775 Active

Practice location

499 Jackson Pike
Gallipolis, OH 45631-1398

Mailing address

15730 State Route 160
Vinton, OH 45686-9069

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X150474 (OH)

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

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About NPI 1366955775

Jacqueline Jill Clagg, CDCA's National Provider Identifier is 1366955775, issued on Nov 7, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gallipolis, OH. The record was last updated on Nov 7, 2017.