Provider Demographics
NPI:1154042687
Name:BRIDGFORD ADDINGTON, CELENE MARGRET (LMHC)
Entity type:Individual
Prefix:
First Name:CELENE
Middle Name:MARGRET
Last Name:BRIDGFORD ADDINGTON
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 AGUA FRIA ST UNIT 115
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87501-2446
Mailing Address - Country:US
Mailing Address - Phone:303-931-6415
Mailing Address - Fax:
Practice Address - Street 1:985 AGUA FRIA ST UNIT 115
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-2446
Practice Address - Country:US
Practice Address - Phone:303-931-6415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-02
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NMCTB-2025-0253101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health