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General NPI Number Information
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NPI Number | 1720487671
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Entity Type | Organization
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Legal Business Name | BROOKS POWERS GROUP, P.S.
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Dates
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Enumeration Date | 08/16/2014
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Last Update Date | 08/16/2014
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Provider Practice Location Address
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Address Line | 1220 WESTLAKE AVE N 901
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City | SEATTLE
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State | WA
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Zip | 98109-3530
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Country | US
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Telephone | 206-801-1139
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Fax |
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Provider Business Mailing Address
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Address Line | 1220 WESTLAKE AVE N 901
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City | SEATTLE
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State | WA
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Zip | 98109-3530
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Country | US
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Telephone | 206-801-1139
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Fax |
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Authorized Official
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Title or Position | CO-DIRECTOR/CLINICAL PSYCHOLOGIST
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Name | ALLISON BROOKS
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Credential | PH.D.
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Telephone | 206-801-1139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CL60183809
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MC60320907
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MC60328590
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60304368
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF60275949
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PY00003264
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License Number State | WA
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