| Doctor Name: | MS. BERNADETTE JAMIE RUNDHAUG |
| NPI Number: | 1003948845 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED |
| License Number: | LH00004300 |
| Business Practice Address: | 5219 W Clearwater Ave Suite 13 Kennewick, WA - 99336 |
| Business Phone Number: | 5097352732 |
| Business Fax Number: | 5097351606 |
| Mailing Address: | 5219 W Clearwater Ave, Suite 13 KENNEWICK |
| State: | WA |
| Postal Code: | 99336 |
| Phone Number: | 5097352732 |
| Fax Number: | 5097351606 |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00004300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |