Individual
BROOKE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2397B HIGHWAY 141, TROUT LAKE, WA 98650-9735
(509) 866-6846
Mailing address
PO BOX 1442, WHITE SALMON, WA 98672-1442
(509) 866-6846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R11344
OR
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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