Individual
AMBER HEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Mailing address
411 COURT ST, PORTSMOUTH, OH 45662-3932
(740) 354-6685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.169008
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.172684
OH
101YM0800X
Mental Health Counselor
QMHS
OH
104100000X
Social Worker
Primary
I.2203931
OH
104100000X
Social Worker
S.1800685-TRNE
OH
1041C0700X
Clinical Social Worker
S.1800685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0324182
—
OH
05
—
0365182
—
OH
Enumeration date
10/11/2018
Last updated
02/15/2023
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