Provider Demographics
NPI:1356925952
Name:SIGETTE, BRIDGET ANN (MA, LPC)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:ANN
Last Name:SIGETTE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:BRIDGET
Other - Middle Name:ANN
Other - Last Name:MARTINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:241 KELLOGG BLVD E APT 501
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-5501
Mailing Address - Country:US
Mailing Address - Phone:701-350-0780
Mailing Address - Fax:
Practice Address - Street 1:541 SELBY AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1728
Practice Address - Country:US
Practice Address - Phone:651-419-1086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN021888101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty