Individual
HEATHER DAWN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14412 US HIGHWAY 23, WAVERLY, OH 45690-9337
(740) 835-1121
Mailing address
14572 US HIGHWAY 23, WAVERLY, OH 45690-9373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.165404
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDCA.165404
CDCA
OH
Enumeration date
12/10/2017
Last updated
12/10/2017
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