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CHAUNCEY WALLACE CDCA
NPI 1215407945
Counselor - Addiction (Substance Use Disorder) in Marion, OH

Active since November 26, 2018
284 S STATE ST, MARION, OH 43302(614) 832-7647(740) 375-5583 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chauncey Wallace Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAUNCEY WALLACE CDCA (NPI 1215407945) is an individual addiction (substance use disorder) provider in Marion, Ohio, licensed in Ohio (050034) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1215407945
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHAUNCEY WALLACECredential: CDCA
Location Address284 S STATE STMarion, OH 43302-3940
Mailing Address284 S State StMarion, OH 43302-3940 · (614) 832-7647 · Fax (740) 375-5583
Phone(614) 832-7647
Fax(740) 375-5583
Sole ProprietorNo
Enumeration DateNovember 26, 2018
✔ NPI 1215407945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 050034
284 S STATE ST, Marion, OH 43302
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL LYNN GILLIG LPN
Licensed Practical Nurse
284 S STATE ST
MARION, OH 43302
Marion County (740) 914-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chauncey Wallace's NPI number?

The NPI number for Chauncey Wallace is 1215407945. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Chauncey Wallace located?

Chauncey Wallace practices at 284 S State St, Marion, OH 43302. The listed phone number is (614) 832-7647.

What is Chauncey Wallace's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Chauncey Wallace was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.