Individual
HEIDI MELISSA HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 8TH ST, HOQUIAM, WA 98550-2507
(360) 532-8629
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60201555
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP60201555
DEPARTMENT OF HEALTH
WA
Enumeration date
10/05/2022
Last updated
09/30/2024
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