Individual
BROOKE ALLISON LATHER-MCELLIGOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9730 3RD AVE NE STE 101, SEATTLE, WA 98115-2023
(206) 429-5221
Mailing address
1332 N 171ST ST, SHORELINE, WA 98133-5454
(206) 429-5221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60624570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2067003
—
WA
Enumeration date
08/16/2012
Last updated
05/23/2019
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