Individual
HEATHER RICHELLE ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
729 6TH ST, PORTSMOUTH, OH 45662
(740) 876-8290
Mailing address
729 6TH ST, PORTSMOUTH, OH 45662-4030
(740) 876-8290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
174511
OH
164W00000X
Licensed Practical Nurse
Primary
PN 134159
OH
Other
Enumeration date
08/24/2009
Last updated
08/02/2022
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