Individual provider · Type 1 NPI

Theresa Waddell, MA, MS, CADC, MFTA

Addiction (Substance Use Disorder) Counselor · Elizabethtown, KY

NPI number 1669843710 Active

Practice location

400 Ring Rd Ste 155
Elizabethtown, KY 42701-8790

Call (844) 473-6378 Map

Other practice locations

  • 910 2nd Ave, Rockford, IL 61104-2162 · (844) 473-6378

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X118429 (KY)
Marriage & Family Therapist 106H00000X298308 (KY)

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

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About NPI 1669843710

Theresa Waddell, MA, MS, CADC, MFTA's National Provider Identifier is 1669843710, issued on Oct 15, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elizabethtown, KY. The record was last updated on Jun 11, 2026.