Basic Information
| Provider Information | |||||||||
| NPI: | 1902865140 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SHERWOOD | ||||||||
| FirstName: | CONSTANCE | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | ED.D. LPCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7475 ALGONQUIN DR | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452433517 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5132713095 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8000 5 MILE RD | ||||||||
| Address2: | SUITE 240 | ||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452302163 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5132323070 | ||||||||
| FaxNumber: | 5132325794 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | E3947 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.