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Chauncey Wallace, CDCA
Addiction (Substance Use Disorder) Counselor in Marion, Ohio
NPI 1215407945

Chauncey Wallace is an Addiction (Substance Use Disorder) Counselor based in Marion, OH and is specialized in Addiction (Substance Use Disorder). Chauncey Wallace practices in Marion, OH and has the professional credentials of CDCA. The NPI Number for Chauncey Wallace is 1215407945 and holds a License No. 050034 (Ohio).

The current practice location address for Chauncey Wallace is 284 S State St, Marion, OH and can be reached out via phone at 614-832-7647 and via fax at 740-375-5583.

Location: 284 S State St, Marion, OH, 43302-3940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215407945
Provider Name
Chauncey Wallace
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
284 S State St, Marion, OH, 43302-3940
Phone Number
614-832-7647
Fax Number
740-375-5583
Provider Enumeration Date
11/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
284 S State St
City
Marion
State
Ohio
Zip
43302-3940
Phone Number
614-832-7647
Fax Number
740-375-5583
person
Provider Business Mailing Address Details
Address
284 S State St
City
Marion
State
Ohio
Zip
43302-3940
Phone Number
614-832-7647
Fax Number
740-375-5583
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
050034 (Ohio)
Definition
Definition to come...
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