Individual
HEIDI MAE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO61594980
Contact information
Practice address
505 SE ADAMS AVE, CHEHALIS, WA 98532-3031
(360) 266-5029
Mailing address
399 SW CASCADE AVE, CHEHALIS, WA 98532-2913
(503) 453-9352
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61594980
WA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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