Search › Ohio › 101YA0400X
Chauncey Wallace, CDCA
NPI 1215407945 · on the registry since 2018
Practice
- Address
- 284 S State St
Marion, OH 43302 - Phone
- (614) 832-7647
- Fax
- (740) 375-5583
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio