Individual
MS. TARA ANNETTE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4800 COLLEGE ST SE, LACEY, WA 98503-4389
(360) 456-7575
(360) 493-5088
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH70011066
WA
101YP2500X
Professional Counselor
Primary
C4119
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075920
—
WA
05
—
500707358
—
OR
Enumeration date
03/24/2009
Last updated
05/27/2026
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