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Individual

TERRELL BRIAN BRAGDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LMHC, MHP, CMHS

Contact information

Practice address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(360) 943-0780
Mailing address
711 STATE AVE NE, OLYMPIA, WA 98506-3984

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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