Provider Demographics
NPI:1740532407
Name:BRYGHT, YVONNE M (MA, LMHC)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:M
Last Name:BRYGHT
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 FRYAR AVE STE B2
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-1501
Mailing Address - Country:US
Mailing Address - Phone:253-826-2923
Mailing Address - Fax:253-826-2916
Practice Address - Street 1:1006 FRYAR AVE STE B2
Practice Address - Street 2:
Practice Address - City:SUMNER
Practice Address - State:WA
Practice Address - Zip Code:98390-1501
Practice Address - Country:US
Practice Address - Phone:253-826-2923
Practice Address - Fax:253-826-2916
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60098573101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health