Individual
HEIDI HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC
Contact information
Practice address
560 N MAIN ST, MARION, OH 43302-2331
(833) 510-4357
(866) 460-2997
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162020
OH
104100000X
Social Worker
S.2005619
OH
Other
Enumeration date
09/18/2017
Last updated
11/07/2023
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