Individual provider · Type 1 NPI
Caleb Andrew Mailloux, CSAC-SUPERVISEE
Addiction (Substance Use Disorder) Counselor · Roanoke, VA
NPI number
1861383796
Active
Practice location
3208 Hershberger Rd NW
Roanoke, VA 24017-1842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0709026428 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861383796
Caleb Andrew Mailloux, CSAC-SUPERVISEE's National Provider Identifier is 1861383796, issued on Jul 10, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roanoke, VA. The record was last updated on Jul 10, 2025.