Individual
BRIDGETTE MARIE EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPCC
Contact information
Practice address
2405 8TH ST S STE 200, MOORHEAD, MN 56560-4224
(218) 331-4866
Mailing address
2405 8TH ST S STE 200, MOORHEAD, MN 56560-4224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC01935
MN
101YM0800X
Mental Health Counselor
Primary
CC09135
MN
Other
Enumeration date
10/26/2018
Last updated
05/19/2020
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