Individual
MRS. ELISA MARIE HERSHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
245 2ND ST NW, CARROLLTON, OH 44615-1305
(330) 627-0087
(330) 627-0089
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0700130SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159731
—
OH
Enumeration date
11/07/2006
Last updated
12/29/2021
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