Individual
BROOKE LOUISE HASELTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 FAIRFAX DR STE 205, ARLINGTON, VA 22203-1622
(571) 328-7408
Mailing address
4401 FAIRFAX DR STE 205, ARLINGTON, VA 22203-1622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
009975
NY
101YM0800X
Mental Health Counselor
0701008101
VA
103T00000X
Psychologist
Primary
0810008895
VA
Other
Enumeration date
10/21/2019
Last updated
04/23/2025
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