Individual
BROOKE DENISE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CAC III, M.ED
Contact information
Practice address
226 MT HARVARD AVE, SEVERANCE, CO 80550-4870
(970) 460-8494
Mailing address
226 MT HARVARD AVE, SEVERANCE, CO 80550-4870
(970) 460-8494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0007031
CO
101YP2500X
Professional Counselor
Primary
LPC.0005090
CO
Other
Enumeration date
08/25/2006
Last updated
10/13/2020
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