Heather V. Distin, LPCC

NPI #1295961845 in Elyria, Ohio

Provider Information

NPI Number: 1295961845
Entity Type: Individual
Name: Heather V. Distin, LPCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPCC
Enumeration Date: Jun 9, 2009
Last Updated: Jun 15, 2009

Practice Location

Address: 347 MIDWAY BLVD
Address 2: #200
City: Elyria
State: Ohio
ZIP Code: 44035
Phone: (440) 324-5701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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