Individual
EMILEE WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 WALNUT ST, COSHOCTON, OH 43812-1655
(740) 622-0033
(740) 622-0210
Mailing address
610 WALNUT ST, COSHOCTON, OH 43812-1655
(740) 622-0033
(740) 622-0210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
165015
OH
405300000X
Prevention Professional
Primary
161384
OH
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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