Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelli Mae Wallingford, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639813025

Kelli Mae Wallingford, CDCA is an Addiction (Substance Use Disorder) Counselor in Georgetown, Ohio. Licensed in Ohio. Registered with an NPI since 2022.

Licensed in
OH
In the registry since
2022

Practice location Address checks out

421 Home St
Georgetown, OH 45121-1407
Phone: (513) 834-7063
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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 CDCA.179420 (OH)

Record details

NPI number1639813025
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorNo
NPI enumeratedApril 22, 2022
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address615 Elsinore Pl Ste 200, Cincinnati, OH 45202-1457

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