person
Brock Wolford, CDCA
Addiction (Substance Use Disorder) Counselor in Logan, Ohio
NPI 1053876623

Brock Wolford is an Addiction (Substance Use Disorder) Counselor based in Logan, OH and is specialized in Addiction (Substance Use Disorder). Brock Wolford practices in Logan, OH and has the professional credentials of CDCA. The NPI Number for Brock Wolford is 1053876623 and holds a License No. 169242 (Ohio).

The current practice location address for Brock Wolford is 30663 Red Rock Ct # 1, Logan, OH and can be reached out via phone at 740-888-1377.

Location: 30663 Red Rock Ct # 1, Logan, OH, 43138-9672
person
Provider Profile Details
NPI Number
1053876623
Provider Name
Brock Wolford
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
30663 Red Rock Ct # 1, Logan, OH, 43138-9672
Phone Number
740-888-1377
Fax Number
Provider Enumeration Date
02/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0096642 05 OH
institution
Provider Business Practice Location Address Details
Address
30663 Red Rock Ct # 1
City
State
Zip
43138-9672
Phone Number
740-888-1377
Fax Number
person
Provider Business Mailing Address Details
Address
30663 Red Rock Ct # 1
City
State
Zip
43138-9672
Phone Number
740-888-1377
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
169242 (Ohio)
Definition
Definition to come...
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