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Organization
INTREPID THERAPY COLLECTIVE PLLC
Active
Organization
INTREPID THERAPY COLLECTIVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BJORGAARD (OWNER)
(360) 230-8011
Entity
Organization
Contact information
Practice address
720 SENECA ST STE 107, SEATTLE, WA 98101-3265
(833) 338-0038
Mailing address
2103 HARRISON AVE NW STE 2-875, OLYMPIA, WA 98502-2636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
04/26/2024
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