Individual
HEATHER WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CT
Contact information
Practice address
1411 N FAIRFIELD RD, BEAVERCREEK, OH 45432-2637
(937) 426-2686
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2204269-TRNE
OH
101YM0800X
Mental Health Counselor
Primary
C.2204269-TRNE
OH
106S00000X
Behavior Technician
RBT-19-104392
OH
Other
Enumeration date
09/24/2021
Last updated
08/07/2023
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