Provider Demographics
NPI:1497932438
Name:BYCINA, BRIDGET RAE (MS, NCC)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:RAE
Last Name:BYCINA
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2364 PICKWICK DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-3762
Mailing Address - Country:US
Mailing Address - Phone:702-436-9019
Mailing Address - Fax:
Practice Address - Street 1:2364 PICKWICK DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-3762
Practice Address - Country:US
Practice Address - Phone:702-436-9019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV74442101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health