Individual
ANNA MARCEL DE HERMANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LPCC
Contact information
Practice address
200 UNION SQ STE 1, MARIETTA, OH 45750-3033
(740) 373-3001
(740) 373-3042
Mailing address
PO BOX 643, MARIETTA, OH 45750-0643
(740) 374-5853
(740) 374-6332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1812
WV
101YM0800X
Mental Health Counselor
Primary
E2377
OH
104100000X
Social Worker
S9206
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11589524
CAQH
OH
01
—
138617
VALUEOPTIONS PROVIDER
OH
01
—
E2377
CLINICAL COUNSELOR LICENS
OH
01
—
S9206
SOCIAL WORK LICENSE
OH
Enumeration date
01/03/2007
Last updated
12/31/2008
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