Justin W Hettinger, LPC | |
4653 E Main St, Whitehall, OH 43213-3298 | |
(614) 384-7798 | |
Not Available |
Full Name | Justin W Hettinger |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4653 E Main St, Whitehall, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093370793 | NPI | - | NPPES |
2314525 | Medicaid | OH | |
2864002 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C.2002750 (Ohio) | Primary |
Entity Name | Agape Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386272151 PECOS PAC ID: 4880024843 Enrollment ID: O20200602002267 |
Mailing Address | Practice Location Address |
---|---|
Justin W Hettinger, LPC 4653 E Main St, Whitehall, OH 43213-3298 Ph: (614) 384-7798 | Justin W Hettinger, LPC 4653 E Main St, Whitehall, OH 43213-3298 Ph: (614) 384-7798 |
Emma White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4653 E Main St, Whitehall, OH 43213 Phone: 614-671-2558 | |
Amanda Kessler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4236 E Broad St, Whitehall, OH 43213 Phone: 380-201-1313 | |
Shannon Marie Owen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4653 E Main St, Whitehall, OH 43213 Phone: 614-384-7798 | |
Halima Abdullahi Mohamed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4653 E Main St, Whitehall, OH 43213 Phone: 614-875-2371 | |
Isabella R Schunn, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4653 E Main St, Whitehall, OH 43213 Phone: 614-875-2371 | |
Michele Maria Burns, QMHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4653 E Main St, Whitehall, OH 43213 Phone: 614-290-1414 | |
Jill Fox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4214 E Main St, Whitehall, OH 43213 Phone: 614-334-6903 |