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Brotherhood Of The Broken
Counselor in Peoria, Arizona
NPI 1356847008

Brotherhood Of The Broken is a Counselor based in Vancouver, AZ. Brotherhood Of The Broken practices in Peoria, AZ. The NPI Number for Brotherhood Of The Broken is 1356847008 and holds a License No. (Arizona).

The current practice location address for Brotherhood Of The Broken is 14050 N 83Rd Ave Ste 290, Peoria, AZ and can be reached out via phone at 623-267-5849 and via fax at 360-989-1140. You can also correspond with Brotherhood Of The Broken through the mailing address at 5411 NE 107TH AVE STE 100, VANCOUVER, WA - 98662-6347 (mailing address contact number: 360-558-7663).

Location: 14050 N 83Rd Ave Ste 290, Peoria, AZ, 98662-6347
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356847008
Provider Name
Brotherhood Of The Broken
Credential
Provider Entity Type
Organization
Address
14050 N 83Rd Ave Ste 290, Peoria, AZ, 98662-6347
Phone Number
623-267-5849
Fax Number
360-989-1140
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14050 N 83Rd Ave Ste 290
City
Peoria
State
Arizona
Zip
85381-5650
Phone Number
623-267-5849
Fax Number
360-989-1140
person
Provider Business Mailing Address Details
Address
5411 Ne 107Th Ave Ste 100
City
Vancouver
State
Washington
Zip
98662-6347
Phone Number
360-558-7663
Fax Number
360-989-1140
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
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.
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