William Boyd Alley

Individual provider Active NPI Case Manager/Care Coordinator · Jackson, OH

NPI 1376308148 · NPPES record last updated Feb 20, 2024

Key facts

NPI
1376308148
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
502 McCarty LN Ste 1
Jackson, OH 45640-7025
Phone
(740) 577-9003
Fax
(740) 577-9184
NPI assigned
Feb 20, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

502 McCarty LN Ste 1
Jackson, OH 45640-7025

Mailing address

502 McCarty LN Ste 1
Jackson, OH 45640-7025
Phone (740) 577-9003

Other providers in Jackson, OH

All providers in Jackson, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.