Individual
KATELYN ROSE HELLDOERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 CROSS POINTE RD STE D, GAHANNA, OH 43230-6692
(614) 407-6513
(937) 998-1118
Mailing address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1800906
OH
101YP2500X
Professional Counselor
Primary
E.2001924
OH
171M00000X
Case Manager/Care Coordinator
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0286682
—
OH
Enumeration date
11/15/2017
Last updated
01/26/2022
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