Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ERIC CLINTON WALLACE
Active Sole ProprietorERIC CLINTON WALLACE is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WEST UNION, Ohio. NPI 1366955585 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WEST UNION, OH
Registration Details
- NPI Number
- 1366955585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2017 (8.7359878840373 yrs)
- Last Updated
- May 26, 2023
- Licenses
-
CDCA.164839 (OH)QMHS (OH)CDCA.168404 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
247 CIC BLVDWEST UNION, OH, 456937512Browse OH providers · Browse ZIP 45693
- Phone
- 5139414999
- Fax
- 5136940168
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in WEST UNION, OH
| Name | Credential | NPI |
|---|---|---|
| GRACE LOUISE MCDONALD | LCDCII | 1528597432 |
| ERICA HITE | LCDC II, SWA | 1679090682 |
| ANGELA D JORDAN | CDCA | 1346767365 |
| CHRISTY DRAKE | LICDC | 1548789225 |
| MELISSA ANN PARKER | — | 1689187510 |
| MIRANDA SANDERSON | CDCA | 1720591662 |
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.