Individual provider · Type 1 NPI

Daniel Robin Van Der Mallie, CDCA

Addiction (Substance Use Disorder) Counselor · Waverly, OH

NPI number 1669972998 Active

Practice location

14574 US Highway 23
Waverly, OH 45690-9373

Call (740) 912-9126 Map

Mailing address

1725 Charles St
Portsmouth, OH 45662-4639

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.162705 (OH)

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

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About NPI 1669972998

Daniel Robin Van Der Mallie, CDCA's National Provider Identifier is 1669972998, issued on Feb 13, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waverly, OH. The record was last updated on Feb 13, 2018.