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Jeanne Wallace
Addiction (Substance Use Disorder) Counselor in Wauseon, Ohio
NPI 1760927156

Jeanne Wallace is an Addiction (Substance Use Disorder) Counselor based in Lima, OH and is specialized in Addiction (Substance Use Disorder). Jeanne Wallace practices in Wauseon, OH. The NPI Number for Jeanne Wallace is 1760927156 and holds a License No. (Ohio).

The current practice location address for Jeanne Wallace is 3491 State Route 108, Wauseon, OH and can be reached out via phone at 419-335-5533.

Location: 3491 State Route 108, Wauseon, OH, 45801-4535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760927156
Provider Name
Jeanne Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
3491 State Route 108, Wauseon, OH, 45801-4535
Phone Number
419-335-5533
Fax Number
Provider Enumeration Date
12/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3491 State Route 108
City
Wauseon
State
Ohio
Zip
43567-9410
Phone Number
419-335-5533
Fax Number
person
Provider Business Mailing Address Details
Address
3491 State Route 108
City
Wauseon
State
Ohio
Zip
43567-9410
Phone Number
419-335-5533
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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