Individual provider · Type 1 NPI

Heidi Henderson, LICDC

Addiction (Substance Use Disorder) Counselor · Marion, OH

NPI number 1619496965 Active

Practice location

560 N Main St
Marion, OH 43302-2331

Fax (866) 460-2997

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice locations

  • 680 Park Ave W, Mansfield, OH 44906 · (419) 528-5993
  • 1505 N Cole St, Lima, OH 45801-2432 · (833) 510-4357

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.162020 (OH)
Social Worker 104100000XS.2005619 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1619496965

Heidi Henderson, LICDC's National Provider Identifier is 1619496965, issued on Sep 18, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marion, OH. The record was last updated on Nov 7, 2023.