Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAUNCEY WALLACE, CDCA
ActiveCHAUNCEY WALLACE, CDCA is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MARION, Ohio. NPI 1215407945 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MARION, OH
Registration Details
- NPI Number
- 1215407945
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2018 (7.7385114575615 yrs)
- Last Updated
- Nov 26, 2018
- License
-
050034 (OH)
Practice Information
- Address
-
284 S STATE STMARION, OH, 433023940Browse OH providers · Browse ZIP 43302
- Phone
- 6148327647
- Fax
- 7403755583
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MARION, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. YANNA R SPARKS | — | 1124238357 |
| MARY REILLY | MA | 1558513705 |
| DENNIS LEE RUMER | LCDC III | 1902114903 |
| MRS. KRISTEN L FAINE | LICDC | 1831473982 |
| RAYSHAWN L WILSON | — | 1205175841 |
| MRS. ARNITA DENIECE PITTMAN | LICDC | 1154765659 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.