Individual
EVAN BIRD HECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44SL06162600
NJ
104100000X
Social Worker
Primary
SA60782831
WA
Other
Enumeration date
05/12/2016
Last updated
03/17/2018
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