Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1154971539 |
---|---|
Provider Name | Heather Sherrill |
First Address | Elyria, OH 44035-7246 |
Second Address | Elyria, OH 44035-7246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2019 |
Last Update Date | 12/05/2021 |