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Individual

BROOKE SULLATESKEE-RINCON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LH

Contact information

Practice address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
Mailing address
13400 NE 20TH ST STE 47, BELLEVUE, WA 98005-2026

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61324079
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203571800
WA
Enumeration date
01/19/2015
Last updated
05/25/2023
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