Individual
TERRELL BRIAN BRAGDON
Active
Individual
TERRELL BRIAN BRAGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC, MHP, CMHS
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH60759610
WA
103TC0700X
Clinical Psychologist
Primary
LH60759610
WA
Other
Enumeration date
01/25/2016
Last updated
01/15/2018
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