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Elisabeth Erin Wagner Bergdahl
Mental Health Counselor in Woodinville, Washington
NPI 1508221318

Elisabeth Erin Wagner Bergdahl is a Mental Health Counselor based in Woodinville, WA and is specialized in Mental Health. Elisabeth Erin Wagner Bergdahl practices in Woodinville, WA. The NPI Number for Elisabeth Erin Wagner Bergdahl is 1508221318 and holds a License No. MC 60724657 (Washington).

The current practice location address for Elisabeth Erin Wagner Bergdahl is 17330 135Th Ave Ne, Woodinville, WA and can be reached out via phone at 425-998-9769.

Location: 17330 135Th Ave Ne, Woodinville, WA, 98072-8522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508221318
Provider Name
Elisabeth Erin Wagner Bergdahl
Credential
Provider Entity Type
Individual
Gender
Female
Address
17330 135Th Ave Ne, Woodinville, WA, 98072-8522
Phone Number
425-998-9769
Fax Number
Provider Enumeration Date
12/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17330 135Th Ave Ne
City
Woodinville
State
Washington
Zip
98072-8522
Phone Number
425-998-9769
Fax Number
person
Provider Business Mailing Address Details
Address
17330 135Th Ave Ne
City
Woodinville
State
Washington
Zip
98072-8522
Phone Number
425-998-9769
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC 60724657 (Washington)
Definition
Definition to come...
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