Individual
BROOKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1433 W 29TH ST, LOVELAND, CO 80538-2403
(970) 239-1529
Mailing address
1433 W 29TH ST, LOVELAND, CO 80538-2403
(970) 239-1529
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACA.0008089
CO
101YM0800X
Mental Health Counselor
Primary
NLC.0110237
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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