Individual
GWENDOLYN HERTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5339 HARTLAND CENTER RD, COLLINS, OH 44826-9738
(724) 417-0151
Mailing address
1634 SYCAMORE LINE, SANDUSKY, OH 44870-4132
(419) 626-9156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
180743
OH
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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