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Individual

DR. DANA BRICKHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LP, LPC, CRC

Contact information

Practice address
8409 16TH ST SE, LAKE STEVENS, WA 98258-3850
(608) 333-8723
Mailing address
8409 16TH ST SE, LAKE STEVENS, WA 98258-3850
(608) 333-8723

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
5186-125
WI
103T00000X
Psychologist
Primary
PY60610064
WA
225C00000X
Rehabilitation Counselor
00090487
WI

Other

Enumeration date
09/16/2013
Last updated
03/25/2025
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