| Jeanne Wallace, | |
|
3491 State Route 108, Wauseon, OH 43567-9410 | |
| (419) 335-5533 | |
| Not Available |
| Full Name | Jeanne Wallace |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3491 State Route 108, Wauseon, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760927156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanne Wallace, 311 E Market St, Third Floor, Lima, OH 45801-4535 Ph: (419) 222-4474 | Jeanne Wallace, 3491 State Route 108, Wauseon, OH 43567-9410 Ph: (419) 335-5533 |
Emily Stockham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13850 County Road D, Wauseon, OH 43567 Phone: 567-454-0340 | |
George Boykin Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3491 State Route 108, Wauseon, OH 43567 Phone: 419-335-5533 | |
Lisette Schuette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 W Elm St, Wauseon, OH 43567 Phone: 419-337-0130 | |
Angie Ellen Burton, LISW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7320 State Route 108 Ste A, Wauseon, OH 43567 Phone: 419-335-3732 | |
Mrs. Betty Jane Tingley, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7320 State Highway 108, Suite A, Wauseon, OH 43567 Phone: 419-335-3723 Fax: 419-335-3462 | |
Sarah Domoe, IBCLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Pine St, Wauseon, OH 43567 Phone: 419-345-0902 | |
Mrs. Joy Dianne Fruchey, MSW, LSW, CTS Counselor Medicare: Accepting Medicare Assignments Practice Location: 1115 S Shoop Avenue, Wauseon, OH 43567 Phone: 419-335-6122 Fax: 419-318-4157 |