Provider Demographics
NPI:1801033626
Name:HEBDA, HOPE THERESE (LMHC)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:THERESE
Last Name:HEBDA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3240 NW LOWELL ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8536
Mailing Address - Country:US
Mailing Address - Phone:360-662-9955
Mailing Address - Fax:360-662-9955
Practice Address - Street 1:3240 NW LOWELL ST
Practice Address - Street 2:SUITE E
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8536
Practice Address - Country:US
Practice Address - Phone:360-662-9955
Practice Address - Fax:360-662-9955
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-15
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 00008744101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health