Individual
BETH ELAINE WALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CDCA
Contact information
Practice address
107 PLAZA DR, SAINT CLAIRSVILLE, OH 43950-8786
(234) 806-4367
Mailing address
1401 8TH ST, MOUNDSVILLE, WV 26041-2028
(304) 845-2878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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