Individual
ANN MARIE BROOKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA, SUDP, MA
Contact information
Practice address
16331 COLONY RD, BOW, WA 98232-8513
(360) 770-7894
Mailing address
16331 COLONY RD, BOW, WA 98232-8513
(360) 770-7894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
61106515
WA
101YM0800X
Mental Health Counselor
Primary
60840388
WA
Other
Enumeration date
04/21/2017
Last updated
07/06/2021
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