Jeanne Wallace

NPI #1760927156 in Wauseon, Ohio

Provider Information

NPI Number
1760927156
Entity Type
Individual
Name
Jeanne Wallace
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Dec 21, 2016
Last Updated
Dec 21, 2016

Practice Location

Address
3491 STATE ROUTE 108
State
Ohio
ZIP Code
43567-9410
Phone
(419) 335-5533

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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