Search › Ohio › 1041C0700X
Colleen Wetherwax, LISW
NPI 1669820734 · on the registry since 2016 · sole proprietor
Practice
- Address
- 13300 Aquilla Rd
Chardon, OH 44024 - Phone
- (440) 279-2090
- Fax
- (440) 285-2574
- Clinicians at this address
- 3
Additional practice sites
- 12557 Ravenwood Dr, Chardon, OH
- 695 South St, Chardon, OH
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-05-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio