Organization
EAGLE BEHAVIORAL HEALTH LLC
Active
Other names
EBH
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLIE BROCKMAN LICSW (OWNER/THERAPIST)
(509) 564-9363
Entity
Organization
Contact information
Practice address
1521 E ILLINOIS AVE STE 104, SPOKANE, WA 99207-5147
(509) 564-9363
Mailing address
1521 E ILLINOIS AVE STE 104, SPOKANE, WA 99207-5147
(509) 564-9363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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