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NPI Code Detail

MEDICARE: MELANIE KATHERINE WALTON CDCA

MEDICARE: MELANIE KATHERINE WALTON CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor167848OH

General Provider Information

NPI Number : 1235605635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE KATHERINE WALTON CDCA
Provider Business Mailing Address
First Line : 100 CROWNE POINT PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-5427
Country : US
Telephone Number : 513-743-7628
Fax Number :
Provider Business Practice Location Address
First Line : 865 S PATTERSON BLVD
Second Line :
City : DAYTON
State : OH
Zip : 45402-2624
Country : US
Telephone Number : 937-966-4673
Fax Number : 937-339-8371
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2018
Last Update Date : 12/24/2025

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