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NPI Code Detail

MEDICARE: MRS. CALEY BROOK PHILIPPS B.A., M.S. LMFT

MEDICARE:  MRS. CALEY BROOK PHILIPPS  B.A., M.S. LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorRC00059793WA
2106H00000XMarriage & Family TherapistMG 60117600WA
3106H00000XMarriage & Family TherapistLF60245944WA

General Provider Information

NPI Number : 1376729608
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CALEY BROOK PHILIPPS B.A., M.S. LMFT
Provider Business Mailing Address
First Line : 500 ELLIOTT AVE W APT 314
Second Line :
City : SEATTLE
State : WA
Zip : 98119-4355
Country : US
Telephone Number : 206-420-9895
Fax Number :
Provider Business Practice Location Address
First Line : 2206 QUEEN ANNE AVE N
Second Line : SUITE 303
City : SEATTLE
State : WA
Zip : 98109-2370
Country : US
Telephone Number : 206-420-9895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2008
Last Update Date : 07/19/2012

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Directions to “ MRS. CALEY BROOK PHILIPPS B.A., M.S. LMFT” Practice Location

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