Individual provider · Type 1 NPI
Nicole Wagner, CDCA
Addiction (Substance Use Disorder) Counselor · Batavia, OH
NPI number
1396353272
Active
Practice location
1100 Hospital Dr
Batavia, OH 45103-1920
Fax (513) 873-1567
Mailing address
615 Elsinore Pl Ste 200
Cincinnati, OH 45202-1459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.173399 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.176769 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1396353272
Nicole Wagner, CDCA's National Provider Identifier is 1396353272, issued on Jul 16, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Batavia, OH. The record was last updated on May 17, 2021.