HEIDI MAE HENDRICKSON CO61594980
NPI 1023827797
Counselor - Addiction (Substance Use Disorder) in Chehalis, WA
Active since January 06, 2025
About Heidi Mae Hendrickson Co61594980 NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEIDI MAE HENDRICKSON CO61594980 (NPI 1023827797) is an individual addiction (substance use disorder) provider in Chehalis, Washington, licensed in Washington (CO61594980) and active in the NPI registry since January 2025.
NPPES Registry Identity
NPI1023827797
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameHEIDI MAE HENDRICKSONCredential: CO61594980
Location Address505 SE ADAMS AVEChehalis, WA 98532-3031
Mailing Address399 Sw Cascade AveChehalis, WA 98532-2913 · (503) 453-9352
Phone(360) 266-5029
Sole ProprietorNo
Enumeration DateJanuary 6, 2025
NPPES CertifiedJanuary 6, 2025
✔ NPI 1023827797 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO61594980
505 SE ADAMS AVE, Chehalis, WA 98532
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
505 SE ADAMS AVE
CHEHALIS, WA 98532
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
505 SE ADAMS AVE
CHEHALIS, WA 98532
CHEHALIS, WA 98532
Counselor (Addiction (Substance Use Disorder))
505 SE ADAMS AVE
CHEHALIS, WA 98532
CHEHALIS, WA 98532
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023827797, enumerated as an "individual" on January 06, 2025.
The provider is located at 505 SE ADAMS AVE CHEHALIS, WA 98532 and the phone number is (360) 266-5029.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).