Individual
BROOKE IVLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Mailing address
1660 AURORA AVE N APT B107, SEATTLE, WA 98109-3086
(171) 458-0749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LW61503101
WA
Other
Enumeration date
07/13/2021
Last updated
05/29/2024
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