Brautigam Mills, Mary Jean

Brautigam Mills, Mary Jean is an sole proprietor health care provider with primary practice located at 470 Front St N , Issaquah WA 98027-2914. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brautigam Mills, Mary Jean can be contacted via phone (425) 985-3640.

Contact Information

Primary practice address
470 Front St N Issaquah WA 98027-2914
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHC00006100 Washington

Profile Details

NPI number 1700051877
LBN Legal business name Brautigam Mills, Mary Jean
Credentials NCC, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700051877 NPPES
Washington Other LMHC00006100 WASHINGTON STATE LMHC

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