Healthcare Provider Details

I. General information

NPI: 1306209192
Provider Name (Legal Business Name): BRIANA MARIE DAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 STATE ROUTE 20
SEDRO WOOLLEY WA
98284-4322
US

IV. Provider business mailing address

1420 STATE ROUTE 20
SEDRO WOOLLEY WA
98284-4322
US

V. Phone/Fax

Practice location:
  • Phone: 360-854-7400
  • Fax:
Mailing address:
  • Phone: 360-854-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61197693
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: