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General NPI Number Information
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NPI Number | 1023920303
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Entity Type | Organization
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Legal Business Name | BAINBRIDGE THERAPY
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 6431 NE FERN ST
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City | SUQUAMISH
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State | WA
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Zip | 98392-9539
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Country | US
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Telephone | 657-333-5464
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Fax |
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Provider Business Mailing Address
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Address Line | 6431 NE FERN ST
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City | SUQUAMISH
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State | WA
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Zip | 98392-9539
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Country | US
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Telephone | 657-333-5464
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | BRITANIA ISON
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Credential | SUDP, LMFTA, LMHCA
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Telephone | 657-333-5464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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