Provider Demographics
NPI:1790385821
Name:BIGNER, JOSHUA (LMFTA)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:BIGNER
Suffix:
Gender:M
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 NW WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WINLOCK
Mailing Address - State:WA
Mailing Address - Zip Code:98596-9455
Mailing Address - Country:US
Mailing Address - Phone:406-223-8547
Mailing Address - Fax:
Practice Address - Street 1:305 NW WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WINLOCK
Practice Address - State:WA
Practice Address - Zip Code:98596-9455
Practice Address - Country:US
Practice Address - Phone:406-223-8547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2022-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61097411101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor