Individual
HEATHER V. DISTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
347 MIDWAY BLVD, #200, ELYRIA, OH 44035
(440) 324-5701
(440) 324-9978
Mailing address
347 MIDWAY BLVD, #200, ELYRIA, OH 44035
(440) 324-5701
(440) 324-9978
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0501357
OH
Other
Enumeration date
06/09/2009
Last updated
06/15/2009
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