Provider Demographics
NPI:1215577655
Name:FEAGAIMAALII, JODI LE (QMHA-I, CADC-R, THW)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:LE
Last Name:FEAGAIMAALII
Suffix:
Gender:F
Credentials:QMHA-I, CADC-R, THW
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:LE
Other - Last Name:HECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 I ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-4163
Mailing Address - Country:US
Mailing Address - Phone:541-735-9741
Mailing Address - Fax:
Practice Address - Street 1:1601 I ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-4163
Practice Address - Country:US
Practice Address - Phone:541-735-9741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No172V00000XOther Service ProvidersCommunity Health Worker