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Individual

JUSTIN W HETTINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 384-7798
Mailing address
4653 E MAIN ST, WHITEHALL, OH 43213-3298
(614) 384-7798

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2002750
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2314525
OH
05
2864002
OH
Enumeration date
05/08/2019
Last updated
08/28/2020
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