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Individual

BRENDA M BRAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RC MHP CMHS

Contact information

Practice address
3320 173RD PL NE, ARLINGTON, WA 98223-8712
(425) 349-8747
Mailing address
4219 WOODLAND PARK AVE N, SEATTLE, WA 98103-7424

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401009611
MI
101YM0800X
Mental Health Counselor
Primary
LH00011151
WA
101YM0800X
Mental Health Counselor
RC00053132
WA

Other

Enumeration date
08/30/2006
Last updated
02/05/2024
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