Individual
HEATHER MACINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
7058 CORPORATE WAY STE 3, CENTERVILLE, OH 45459-4243
(937) 991-0080
Mailing address
7058 CORPORATE WAY STE 3, CENTERVILLE, OH 45459-4243
(937) 991-0080
(937) 991-0083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162225
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
179939
OH
Other
Enumeration date
04/06/2022
Last updated
03/06/2026
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