Individual
HEIDI L MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
729 6TH ST, PORTSMOUTH, OH 45662-4030
(740) 875-8290
(740) 529-1205
Mailing address
729 6TH ST, PORTSMOUTH, OH 45662-4030
(740) 875-8290
(740) 529-1205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.185679
OH
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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