Search › Washington › 101YA0400X
Jody Heller, SUDP
NPI 1962042184 · on the registry since 2020
Practice
- Address
- 6700 Martin Way E Ste 117
Olympia, WA 98516 - Phone
- (360) 413-6910
- Organisation at this address
- Evergreen Treatment Services
Evergreen Treatment Services Unit 5Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 48
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 390200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-12
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 Washington