Individual ProviderHeather M TomCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E 4th Plain Blvd, Vancouver, WA 98661-3713(360) 397-8246(360) 931-7420PECOS EnrollmentBased on the most recent information from CMS, provider Heather M Tom does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1962816827Provider TypeIndividualFull NameTom, Heather MTitleMs.CredentialMSWGenderFemaleSole ProprietorNoEnumeration Date6/18/2014Last Updated11/12/2019Contact InformationPractice LocationPractice Address1601 E 4th Plain Blvd, Vancouver, WA 98661-3713Phone(360) 397-8246FaxUnlisted FaxMailing LocationMailing Address13504 NE 84th St Ste 103, Box 250, Vancouver, WA 98682-3091Phone(360) 931-7420FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1033595020DescriptionMedicaidIssuerUnlistedWashington