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Individual

MS. CEIT AQUIN BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LMHC

Contact information

Practice address
305 W 16TH ST, VANCOUVER, WA 98660-2791
(360) 989-7519
Mailing address
PO BOX 131, VANCOUVER, WA 98666-0131
(360) 989-7519
(360) 546-5554

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C2154
OR
101YM0800X
Mental Health Counselor
Primary
LH 60022770
WA

Other

Enumeration date
10/28/2008
Last updated
10/28/2008
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