| Eric Clinton Wallace, | |
|
247 Cic Blvd, West Union, OH 45693-7512 | |
| (513) 941-4999 | |
| (513) 694-0168 |
| Full Name | Eric Clinton Wallace |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 247 Cic Blvd, West Union, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366955585 | NPI | - | NPPES |
| 0273638 | Medicaid | OH |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Clinton Wallace, 6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958 Ph: (513) 941-4999 | Eric Clinton Wallace, 247 Cic Blvd, West Union, OH 45693-7512 Ph: (513) 941-4999 |
Charles Kalub Smith, CDCA, QBHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Rice Drive, West Union, OH 45693 Phone: 937-544-5547 Fax: 937-544-3035 | |
Christina Lynn Jeffery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 247 Cic Blvd, West Union, OH 45693 Phone: 513-941-4999 Fax: 513-694-0168 | |
Kristin Hayslip, Counselor Medicare: Not Enrolled in Medicare Practice Location: 923 Sunrise Ave, West Union, OH 45693 Phone: 937-862-6368 | |
Kayla Ann Clough, Counselor Medicare: Not Enrolled in Medicare Practice Location: 923 Sunrise Ave, West Union, OH 45693 Phone: 937-544-5547 | |
Tiana Cummings, Counselor Medicare: Not Enrolled in Medicare Practice Location: 508 E Main St, West Union, OH 45693 Phone: 937-544-5218 | |
Catherine Carroll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 192 Chestnut Ridge Rd # Ed, West Union, OH 45693 Phone: 937-544-5581 | |
Michael Mahon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 247 Cic Blvd, West Union, OH 45693 Phone: 513-941-4999 Fax: 513-694-0168 |