Individual
BRODIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
Mailing address
PO BOX 7661, OLYMPIA, WA 98507-7661
(360) 270-1567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60951419
WA
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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