Individual
DEANNA MARIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
813 BRYDEN RD, COLUMBUS, OH 43205-1759
(614) 808-3198
Mailing address
813 BRYDEN RD, COLUMBUS, OH 43205-1759
(614) 808-3198
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183296
OH
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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