Healthcare Provider Details

I. General information

NPI: 1912718933
Provider Name (Legal Business Name): BROOKE ANN TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 ANDOVER PARK W
TUKWILA WA
98188-3911
US

IV. Provider business mailing address

3436 MARY ELDER RD NE
OLYMPIA WA
98506-5050
US

V. Phone/Fax

Practice location:
  • Phone: 253-285-7101
  • Fax:
Mailing address:
  • Phone: 360-528-2590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: