HEATHER HEDUM


Address: 104 S Freya St Ste 206, Spokane, WA 99202-4889
Phone: 5099273668

HEATHER HEDUM (NPI# 1700400702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700400702
Entity Type Individual
Full Name HEATHER HEDUM
Credential CDP
Practice Address 104 S Freya St Ste 206
Spokane
WA 99202-4889
Practice Telephone 5099273668
Practice Fax Number 5098926661
Mailing Telephone 5099273668
Mailing Fax Number 5098926661
Enumeration Date 2020-06-04
Last Update Date 2020-06-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CP60921296 WA Behavioral Health & Social Service Providers

Office Location

Street Address 104 S FREYA ST STE 206
City SPOKANE
State WA
Zip Code 99202-4889

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1750858171 Elyse M Tullar Counselor 3101 E Boone Ave, Spokane, WA 99202 2018-10-24
1952830333 Kaleb E Walker Case Manager/Care Coordinator 1002 N Superior, Spokane, WA 99202 2017-06-08
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013517952 Maria Escobedo Counselor 1321 N. Ash, Spokane, WA 99201 2020-10-29
1295342111 Pamela Sue Russo Counselor 103 E First Ave, Spokane, WA 99202-1510 2020-09-24
1033728415 Beyond Behavioral Health LLC Counselor 104 S Freya St Bldg Suite210, Spokane, WA 99202-4862 2020-07-30
1568004182 Tracy L Dantzler Counselor 101 E Magnesium Rd Ste 101, Spokane, WA 99208-5901 2019-10-15
1568921534 Megan Nicole Tackes Counselor 1508 W 6th Ave, Spokane, WA 99204-3409 2019-03-18
1942772637 Cheryl Kay Cross Counselor 4214 N Cedar St, Spokane, WA 99205-1323 2018-12-19
1508337361 Lisa Webb Counselor 2402 E Nebraska Ave, Spokane, WA 99208-2308 2018-12-05
1881162956 Adam Patyk Counselor 820 W Jackson Ave Apt 3, Spokane, WA 99205-3335 2018-11-07
1003383159 Sandra Kay Robinson Counselor New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 2018-10-26
1962978478 Jamie Lynn Womack Counselor 5617 N Alberta St, Spokane, WA 99205-7003 2018-10-23
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Competitor

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City SPOKANE
Zip Code 99202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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