Provider Demographics
NPI:1487791620
Name:HOWARD, HEIDI R (MA LMHC, CDP)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:R
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MA LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 QUAIL CREEK WAY NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-3114
Mailing Address - Country:US
Mailing Address - Phone:425-829-8294
Mailing Address - Fax:425-880-4334
Practice Address - Street 1:2410 QUAIL CREEK WAY NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-3114
Practice Address - Country:US
Practice Address - Phone:425-829-8294
Practice Address - Fax:425-880-4334
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00000311101YA0400X
WALH00010821101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health