| Doctor Name: | HEATHER GARY |
| NPI Number: | 1013044403 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CDCA |
| License Number: | 050185 |
| Business Practice Address: | 90 Hospital Dr Athens, OH - 457012301 |
| Business Phone Number: | 7405933682 |
| Business Fax Number: | 7405945642 |
| Mailing Address: | 90 Hospital Dr, ATHENS |
| State: | OH |
| Postal Code: | 457012301 |
| Phone Number: | 7405933682 |
| Fax Number: | 7405945642 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 07/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 050185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |