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Jordan Lee Brooks, BSAAC
Addiction (Substance Use Disorder) Counselor in Kelso, Washington
NPI 1265988349

Jordan Lee Brooks is an Addiction (Substance Use Disorder) Counselor based in Seattle, WA and is specialized in Addiction (Substance Use Disorder). Jordan Lee Brooks practices in Kelso, WA and has the professional credentials of BSAAC. The NPI Number for Jordan Lee Brooks is 1265988349 and holds a License No. MC61475302 (Washington).

The current practice location address for Jordan Lee Brooks is 1710 Allen St, Kelso, WA and can be reached out via phone at 602-617-0203.

Location: 1710 Allen St, Kelso, WA, 98124-1703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265988349
Provider Name
Jordan Lee Brooks
Credential
BSAAC
Provider Entity Type
Individual
Gender
Male
Address
1710 Allen St, Kelso, WA, 98124-1703
Phone Number
602-617-0203
Fax Number
Provider Enumeration Date
08/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2064734 05 WA
institution
Provider Business Practice Location Address Details
Address
1710 Allen St
City
Kelso
State
Washington
Zip
98626-4907
Phone Number
602-617-0203
Fax Number
person
Provider Business Mailing Address Details
Address
1710 Allen St
City
Kelso
State
Washington
Zip
98626-4907
Phone Number
602-617-0203
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CP60848399 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
MC61475302 (Washington)
Definition
Definition to come...
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