JODY LYNN HELLER SUDP NPI 1962042184

NPI Information

NPI: 1962042184
Provider Name: JODY LYNN HELLER, SUDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
6700 MARTIN WAY E STE 117
OLYMPIA, WA
ZIP 98516
Phone: (360) 413-6910
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Jody Lynn Heller, SUDP is an addiction (substance use disorder) counselor in Olympia, WA. Jody Lynn Heller, SUDP NPI is 1962042184. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6700 MARTIN WAY E STE 117
OLYMPIA, WA
ZIP 98516-586
Phone: (360) 413-6910

The enumeration date for this NPI number is 1/15/2020 and was last updated on 9/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		CO61015481	WASHINGTON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP61292665	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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