Individual
BRIDGITTE CAMELIA MATHIASEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, MSCC, BS
Contact information
Practice address
4445 TALBOT RD S, RENTON, WA 98055-6219
(425) 656-4055
(425) 656-5425
Mailing address
3600 LIND AVE SW, SUITE 100 - ATTN: CREDENTIALING, RENTON, WA 98057-4970
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
LH60604127
WA
101YP2500X
Professional Counselor
LH60604127
WA
102L00000X
Psychoanalyst
LH60604127
WA
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
273R00000X
Psychiatric Hospital Unit
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074643
—
WA
Enumeration date
07/19/2011
Last updated
12/07/2023
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