Individual
MATHEW BERGENDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5419 COURTNEY ST SE, OLYMPIA, WA 98513-4613
(360) 451-0611
Mailing address
5419 COURTNEY ST SE, OLYMPIA, WA 98513-4613
(360) 451-0611
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC20177
SD
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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