Individual
HEIDI MARIE OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
196 E EMMITT AVE, WAVERLY, OH 45690-1334
(740) 912-9499
Mailing address
617 S MARKET ST APT 14, WAVERLY, OH 45690-1660
(740) 222-3645
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
164W00000X
Licensed Practical Nurse
Primary
LPN.149402.MEDS-IV
OH
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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