Chauncey Wallace, CDCA
Chauncey Wallace, CDCA is an Addiction (Substance Use Disorder) Counselor in Marion, Ohio. Licensed in Ohio. Registered with an NPI since 2018.
- Licensed in
- OH
- In the registry since
- 2018
Practice location Address checks out
284 S State StMarion, OH 43302-3940
Phone: (614) 832-7647
Fax: (740) 375-5583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 050034 (OH) |
|---|
Record details
| NPI number | 1215407945 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA |
| Sole proprietor | No |
| NPI enumerated | November 26, 2018 |
| Last updated in NPPES | November 26, 2018 |
| Mailing address | 284 S State St, Marion, OH 43302-3940 |
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