Individual
MS. HEATHER MICHELLE HEDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2234 KENTWOOD DR, MANSFIELD, OH 44903-9643
(419) 961-7372
Mailing address
2234 KENTWOOD DR, MANSFIELD, OH 44903-9643
(419) 961-7372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161785
OH
101YM0800X
Mental Health Counselor
1700160
OH
104100000X
Social Worker
Primary
1700160
OH
Other
Enumeration date
09/11/2017
Last updated
12/01/2021
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