Provider Demographics
NPI:1083942155
Name:APONTE, JODI (CDP)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:
Last Name:APONTE
Suffix:
Gender:F
Credentials:CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12598
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98206-2598
Mailing Address - Country:US
Mailing Address - Phone:425-258-2407
Mailing Address - Fax:
Practice Address - Street 1:3624 COLBY AVE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201
Practice Address - Country:US
Practice Address - Phone:425-366-8517
Practice Address - Fax:844-247-8630
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC60480365101YM0800X
NY078797-1104100000X
WACP60163373101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker