Clinton Wallace CDCA

  • NPI 1366955585
According to our database, the NPI number for Clinton Wallace CDCA is 1366955585 and activated since 6 years ago. Clinton Wallace CDCA is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 411 Court St, Portsmouth, OH 45662. You can also contact Clinton Wallace CDCA via telephone number is (740) 354-6685. Provider NPI information was last updated on 11/09/2017.

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Overview of Clinton Wallace CDCA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/09/2017
  • Last updated: 11/09/2017

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 164839
  • License State: OH

Provider Mailing Address

  • Address: 923 Findlay St
    Portsmouth, OH 45662
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 411 Court St
    Portsmouth, OH 45662
  • Phone: 740-354-6685
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 164839
  • License State: OH
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Clinton Wallace CDCA?
  • A: The npi number for Clinton Wallace CDCA is 1366955585.
  • Q: What are Clinton Wallace CDCA's specialties?
  • A: Clinton Wallace CDCA's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Clinton Wallace CDCA?
  • A: The medical license number for Clinton Wallace CDCA is 164839 and issued in OH in USA.
  • Q: Where is Clinton Wallace CDCA practice location?
  • A: Clinton Wallace CDCA is practicing at 411 Court St, Portsmouth, OH 45662.
  • Q: How to contact Clinton Wallace CDCA?
  • A: You can contact Clinton Wallace CDCA via 740-354-6685.