Bragdon, Terrell Brian

Bragdon, Terrell Brian is an individual health care provider with primary practice located at 711 State Ave Ne , Olympia WA 98506-3984. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bragdon, Terrell Brian can be contacted via phone (360) 943-0780.

Contact Information

Primary practice address
711 State Ave Ne Olympia WA 98506-3984
Phone: (360) 943-0780
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60759610 Washington
Behavioral Health & Social Service Providers / Clinical 103TC0700X LH60759610 Washington

Profile Details

NPI number 1144687997
LBN Legal business name Bragdon, Terrell Brian
Credentials MA, LMHC, MHP, CMHS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2016
Last updated Jan 15th, 2018 - 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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