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Kenna Marie Brooks
Peer Specialist in Lacey, Washington
NPI 1033631668

Kenna Marie Brooks is a Peer Specialist based in Lakewood, WA. Kenna Marie Brooks practices in Lacey, WA. The NPI Number for Kenna Marie Brooks is 1033631668 and holds a License No. CG60792062 (Washington).

The current practice location address for Kenna Marie Brooks is 612 Woodland Square Loop Se Ste 401, Lacey, WA and can be reached out via phone at 360-999-9053.

Location: 612 Woodland Square Loop Se Ste 401, Lacey, WA, 98498-1248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033631668
Provider Name
Kenna Marie Brooks
Credential
Provider Entity Type
Individual
Gender
Female
Address
612 Woodland Square Loop Se Ste 401, Lacey, WA, 98498-1248
Phone Number
360-999-9053
Fax Number
Provider Enumeration Date
07/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033631668 05 WA
1780913657 01 WA TELECARE MOBILE OUTREACH TEAM
institution
Provider Business Practice Location Address Details
Address
612 Woodland Square Loop Se Ste 401
City
Lacey
State
Washington
Zip
98503-1070
Phone Number
360-999-9053
Fax Number
person
Provider Business Mailing Address Details
Address
612 Woodland Square Loop Se Ste 401
City
Lacey
State
Washington
Zip
98503-1070
Phone Number
360-999-9053
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CG60792062 (Washington)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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