Kazda, Heather

Kazda, Heather is an sole proprietor health care provider with primary practice located at 200 20Th Ave Sw , Olympia WA 98501-2808. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kazda, Heather can be contacted via phone (505) 264-0601.

Contact Information

Primary practice address
200 20Th Ave Sw Olympia WA 98501-2808
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X M 5779 New Mexico
Behavioral Health & Social Service Providers / School 1041S0200X M 5779 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1041C0700X Washington

Profile Details

NPI number 1770611485
LBN Legal business name Kazda, Heather
Credentials SW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Jun 27th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770611485 NPPES
New Mexico MEDICAID 80570062

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