| Chauncey Wallace, CDCA | |
|
284 S State St, Marion, OH 43302-3940 | |
| (614) 832-7647 | |
| (740) 375-5583 |
| Full Name | Chauncey Wallace |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 284 S State St, Marion, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215407945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 050034 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chauncey Wallace, CDCA 284 S State St, Marion, OH 43302-3940 Ph: (614) 832-7647 | Chauncey Wallace, CDCA 284 S State St, Marion, OH 43302-3940 Ph: (614) 832-7647 |
Tristen Wiley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 S Prospect St, Marion, OH 43302 Phone: 740-244-8850 |
Mr. Joshua Lee Melvin, MDIV, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 827 N Main St, Marion, OH 43302 Phone: 740-914-5000 Fax: 740-914-5005 |
Lalita Cole, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 560 N Main St, Marion, OH 43302 Phone: 833-510-4357 Fax: 866-460-2997 |
Stuart Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 E Center St Ste 202, Marion, OH 43302 Phone: 740-914-5000 |
Brittany Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Executive Dr, Marion, OH 43302 Phone: 740-387-5210 |
Selena Rhea Clement, Counselor Medicare: Not Enrolled in Medicare Practice Location: 827 N Main St, Marion, OH 43302 Phone: 740-914-5000 |
Yvonne Stayner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 S Prospect St, Marion, OH 43302 Phone: 614-334-6903 |