Individual
HEATHER GORSLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
500 E MAIN ST, COLUMBUS, OH 43215-5369
(614) 355-6300
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1801588
OH
101YP2500X
Professional Counselor
Primary
E.2102081
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
01/13/2015
Last updated
03/01/2021
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