Provider Demographics
NPI:1982033957
Name:GERSTER, CORRIE (LPCC)
Entity Type:Individual
Prefix:
First Name:CORRIE
Middle Name:
Last Name:GERSTER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 LOUISE DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875-1817
Mailing Address - Country:US
Mailing Address - Phone:567-241-5272
Mailing Address - Fax:
Practice Address - Street 1:49 LOUISE DR
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875-1817
Practice Address - Country:US
Practice Address - Phone:567-241-5272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-11
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.10000140-CR101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health