Individual
HEATHER BROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26112 W US HWY 160, SOUTH FORK, CO 81154-0001
(719) 480-1525
Mailing address
32 BUCK RIDGE CV, JACKSON, TN 38305-9699
(719) 480-1525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0012680
CO
Other
Enumeration date
11/14/2013
Last updated
09/29/2022
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