Individual
BROOKE CUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
212 N MAIN ST STE 204, NORTH WALES, PA 19454-3129
(267) 217-7065
(267) 217-7607
Mailing address
18 DERRY DR, NORTH WALES, PA 19454-4008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC013752
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC013752
PROFESSIONAL LICENSURE
—
Enumeration date
01/17/2022
Last updated
01/17/2022
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