Kelli Mae Wallingford, CDCA
NPI #1639813025 in Georgetown, Ohio
Provider Information
- NPI Number
- 1639813025
- Entity Type
- Individual
- Name
- Kelli Mae Wallingford, CDCA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDCA
- Enumeration Date
- Apr 22, 2022
- Last Updated
- Apr 25, 2022
Practice Location
- Address
- 421 HOME ST
- City
- Georgetown
- State
- Ohio
- ZIP Code
- 45121-1407
- Phone
- (513) 834-7063
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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