| Intrepid Therapy Collective Pllc | |
|
720 Seneca St Ste 107 Seattle WA 98101-3265 | |
| (833) 338-0038 | |
| Not Available |
| Full Name | Intrepid Therapy Collective Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 720 Seneca St Ste 107, Seattle, Washington |
| Authorized Official Name and Position | Benjamin Bjorgaard (OWNER) |
| Authorized Official Contact | 3602308011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intrepid Therapy Collective Pllc 2103 Harrison Ave Nw Ste 2-875 Olympia WA 98502-2636 Ph: () - | Intrepid Therapy Collective Pllc 720 Seneca St Ste 107 Seattle WA 98101-3265 Ph: (833) 338-0038 |
| NPI Number | 1366190191 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 04/26/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366190191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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