Individual
MS. MARISSA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG 60258171
WA
175T00000X
Peer Specialist
Primary
PR70107295
WA
Other
Enumeration date
10/15/2014
Last updated
07/20/2026
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