Jody Lynn Heller, SUDP
Jody Lynn Heller, SUDP is a Student in an Organized Health Care Education/Training Program in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2020.
- Licensed in
- WA
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
6700 Martin Way E Ste 117Olympia, WA 98516-5586
Phone: (360) 413-6910
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CP61292665 (WA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence CO61015481 (WA) |
Record details
| NPI number | 1962042184 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDP |
| Sole proprietor | No |
| NPI enumerated | January 15, 2020 |
| Last updated in NPPES | September 12, 2022 |
| Certification date | September 12, 2022 |
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