JUDE BERGKAMP M.A., L.M.H.C.
NPI 1811134117
Counselor - Mental Health in Olympia, WA
Active since January 08, 2009
About Jude Bergkamp M.a., L.m.h.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUDE BERGKAMP M.A., L.M.H.C. (NPI 1811134117) is an individual mental health provider in Olympia, Washington, licensed in Washington (LH00010918) and active in the NPI registry since January 2009.
NPPES Registry Identity
NPI1811134117
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJUDE BERGKAMPCredential: M.A., L.M.H.C.
Location Address3102 8TH AVE NEOlympia, WA 98506-4972
Mailing Address4904 Cushman Rd NeOlympia, WA 98506-1808 · (360) 790-2033
Phone(360) 790-2033
Sole ProprietorYes
Enumeration DateJanuary 8, 2009
✔ NPI 1811134117 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH00010918
3102 8TH AVE NE, Olympia, WA 98506
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811134117, enumerated as an "individual" on January 08, 2009.
The provider is located at 3102 8TH AVE NE OLYMPIA, WA 98506 and the phone number is (360) 790-2033.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
