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Jody Lynn Heller, SUDP
Addiction (Substance Use Disorder) Counselor in Olympia, Washington
NPI 1962042184

Jody Lynn Heller is an Addiction (Substance Use Disorder) Counselor based in Olympia, WA and is specialized in Addiction (Substance Use Disorder). Jody Lynn Heller practices in Olympia, WA and has the professional credentials of SUDP. The NPI Number for Jody Lynn Heller is 1962042184 and holds a License No. CO61015481 (Washington).

The current practice location address for Jody Lynn Heller is 6700 Martin Way E Ste 117, Olympia, WA and can be reached out via phone at 360-413-6910.

Location: 6700 Martin Way E Ste 117, Olympia, WA, 98516-5586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962042184
Provider Name
Jody Lynn Heller
Credential
SUDP
Provider Entity Type
Individual
Gender
Female
Address
6700 Martin Way E Ste 117, Olympia, WA, 98516-5586
Phone Number
360-413-6910
Fax Number
Provider Enumeration Date
01/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6700 Martin Way E Ste 117
City
Olympia
State
Washington
Zip
98516-5586
Phone Number
360-413-6910
Fax Number
person
Provider Business Mailing Address Details
Address
6700 Martin Way E Ste 117
City
Olympia
State
Washington
Zip
98516-5586
Phone Number
360-413-6910
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CP61292665 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
CO61015481 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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