Provider Demographics
NPI:1639617525
Name:TRAGESER, BRIANA MICHELLE (LMHCA)
Entity Type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:MICHELLE
Last Name:TRAGESER
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3023
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98046-3023
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:817 238TH ST SE
Practice Address - Street 2:SUITE H
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-4309
Practice Address - Country:US
Practice Address - Phone:425-820-4717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60625251101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health