Individual provider · Type 1 NPI

Janice G. Bridgewater, LCSW

Counselor · Portland, OR

NPI number 1962555714 Active

Practice location

1235 SE Division #104
Portland, OR 97202

Call (503) 888-9540 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X3788 (OR)
Counselor Primary 101Y00000XL3788 (OR)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1962555714

Janice G. Bridgewater, LCSW's National Provider Identifier is 1962555714, issued on Jan 18, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Sep 6, 2022.