Most Relevant Information
Provider Data
| NPI Number: | 1003409046 |
| Provider Name: | HEATHER CHRISTINE BERENS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/19/2021 |
| Last Updated: | 02/19/2021 |
Provider Practice Location
1114 GONDER AVE SE
CANTON
OH
447073300
Practice Location Phone/Fax
| Phone: | 3304302801 |
| Fax: |
Provider Mailing Location
5982 RHODES RD
KENT
OH
442408100
Provider Mailing Phone/Fax
| Phone: | 3306731347 |
| Fax: | 3306783677 |