Individual provider · Type 1 NPI

Betty Wallace

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1760868061 Active

Practice location

3688 Wales Dr
Dayton, OH 45405-1845

Call (502) 912-2674 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X923242 (OH)

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

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About NPI 1760868061

Betty Wallace's National Provider Identifier is 1760868061, issued on Aug 10, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Apr 8, 2019.