Daniel Robin Van Der Mallie, CDCA
Counselor, Addiction (Substance Use Disorder) in Waverly, OH. Individual provider (NPI-1).
NPI number1669972998
StatusActive
Last updated in NPPESFeb 13, 2018
Details
- NPI
- 1669972998
- Entity type
- Individual (NPI-1)
- Name
- Daniel Robin Van Der Mallie
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2018
- Last updated
- Feb 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CDCA.162705 | OH | Yes |
Practice location
14574 Us Highway 23Waverly, OH 45690-9373
Phone 740-912-9126
Mailing address
1725 Charles StPortsmouth, OH 45662-4639
Phone 740-947-6727
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All 356 Addiction (Substance Use Disorder) Counselor providers in Waverly · All 759 providers in Waverly
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