Provider Demographics
NPI:1033958996
Name:DILLON, BRIDGET MURRAY (MA, LMHCA)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:MURRAY
Last Name:DILLON
Suffix:
Gender:X
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 NW GILMAN BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5333
Mailing Address - Country:US
Mailing Address - Phone:425-689-6736
Mailing Address - Fax:
Practice Address - Street 1:1420 NW GILMAN BLVD STE 2
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5333
Practice Address - Country:US
Practice Address - Phone:425-689-6736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61531660101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health