Individual
MATTHEW BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED ART THERA
Contact information
Practice address
44335 PREMIER PLZ STE 230, ASHBURN, VA 20147-5052
(714) 980-1095
Mailing address
44335 PREMIER PLZ STE 230, ASHBURN, VA 20147-5052
(714) 980-1095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19-485
ART THERAPY
VA
Enumeration date
04/28/2021
Last updated
04/28/2021
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