Individual
BRENTON BROOKS PAGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHCA
Contact information
Practice address
819 N 49TH ST STE 303, SEATTLE, WA 98103-6577
(206) 588-6585
Mailing address
3036 60TH AVE SW APT 6, SEATTLE, WA 98116-5801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61056790
WA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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