Individual
MRS. CASANDRA HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.C.
Contact information
Practice address
675 BARTSON RD, FREMONT, OH 43420-9672
(419) 332-5524
(419) 332-7581
Mailing address
1925 HAYES AVE, SANDUSKY, OH 44870-4737
(419) 557-5179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0027273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E0001927
—
OH
Enumeration date
11/19/2009
Last updated
11/19/2009
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