Christiansen Mudge, Bonnie L
Christiansen Mudge, Bonnie L is an sole proprietor health care provider with primary practice located at 4115 Bridgeport Way West Ste C, University Place WA 98466. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Christiansen Mudge, Bonnie L can be contacted via phone (253) 564-5603.Contact Information
Primary practice address
4115 Bridgeport Way West Ste C
University Place WA 98466
Phone: (253) 564-5603
Fax: (253) 564-5604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH00004466 | Washington |
Profile Details
| NPI number | 1619131620 |
|---|---|
| LBN Legal business name | Christiansen Mudge, Bonnie L |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2008 |
| Last updated | Jul 18th, 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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