person
Mr. Russell Lee Brooks JR.
Mental Health Counselor in Olympia, Washington
NPI 1205471836

Russell Lee Brooks JR. is a Mental Health Counselor based in Puyallup, WA and is specialized in Mental Health. Russell Lee Brooks JR. practices in Olympia, WA. The NPI Number for Russell Lee Brooks JR. is 1205471836 and holds a License No. (Washington).

The current practice location address for Russell Lee Brooks JR. is 3436 Mary Elder Rd Ne, Olympia, WA and can be reached out via phone at 360-528-2590.

Location: 3436 Mary Elder Rd Ne, Olympia, WA, 98375-6873
person
Provider Profile Details
NPI Number
1205471836
Provider Name
Russell Lee Brooks JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
3436 Mary Elder Rd Ne, Olympia, WA, 98375-6873
Phone Number
360-528-2590
Fax Number
Provider Enumeration Date
11/06/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114535 05 WA
institution
Provider Business Practice Location Address Details
Address
3436 Mary Elder Rd Ne
City
State
Zip
98506-5050
Phone Number
360-528-2590
Fax Number
person
Provider Business Mailing Address Details
Address
3436 Mary Elder Rd Ne
City
State
Zip
98506-5050
Phone Number
360-528-2590
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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