Organization
FROM THE ROOTS COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORRIE GERSTER LPCC-S (OWNER, CLINICAL COUNSELOR)
(567) 241-5272
Entity
Organization
Contact information
Practice address
49 LOUISE DR, SHELBY, OH 44875-1817
(567) 241-5272
Mailing address
49 LOUISE DR, SHELBY, OH 44875-1817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
11/12/2019
Last updated
06/27/2023
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