Individual
HEIDI CARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
831 12TH AVE, LONGVIEW, WA 98632-2403
(360) 998-2349
(360) 998-2887
Mailing address
7729 NE QUARRY RD, LA CENTER, WA 98629-5221
(360) 431-1684
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SA61032041
WA
101YM0800X
Mental Health Counselor
SA61032041
WA
104100000X
Social Worker
SA61032041
WA
Other
Enumeration date
01/21/2020
Last updated
10/26/2023
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