Individual provider · Type 1 NPI
Mathew Bergendahl
Professional Counselor · Olympia, WA
NPI number
1043946817
Active
Practice location
5419 Courtney St SE
Olympia, WA 98513-4613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC20177 (SD) |
Professional Counselor: Definition to come...
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About NPI 1043946817
Mathew Bergendahl's National Provider Identifier is 1043946817, issued on Jul 25, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Olympia, WA. The record was last updated on Jul 25, 2022.