Individual
MRS. AMANDA MARIE DERHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
250 ORION ST NW, NORTH CANTON, OH 44720-8375
(330) 966-1007
(330) 966-1008
Mailing address
5996 DRENTA CIR SW, NAVARRE, OH 44662-8609
(330) 447-2356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E. 0008305
OH
Other
Enumeration date
10/06/2006
Last updated
02/25/2009
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