Individual
HEIDI EVERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, TF-CBT
Contact information
Practice address
9078 UNION CENTRE BLVD STE 350, WEST CHESTER, OH 45069-4992
(513) 613-4726
(513) 964-9029
Mailing address
9078 UNION CENTRE BLVD STE 350, WEST CHESTER, OH 45069-4992
(513) 613-4726
(513) 964-9029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1801364
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
ODADAS
OH
01
—
0074946
ODMH
OH
01
—
01-0693
CARF
OH
01
—
C.1801364
OHIO SOCIAL WORKER, COUNSELOR AND MARRIAGE AND FAMILY COUNSELING BOARD
OH
01
—
H130910
PTAN GROUP
OH
Enumeration date
11/07/2017
Last updated
11/29/2022
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