NPI 1033631668

Kenna Marie Brooks

Practitioner Peer Specialist Lacey, WA

Practice location

Address: 612 Woodland Square Loop SE STE 401, Lacey, WA 98503-1070
Phone: (360) 999-9053
Mailing address: 9611 Washington Blvd SW, Lakewood, WA 98498-1248

Registered specialties (2)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

Other Peer Specialist providers in Washington →

Peer Specialist

Other Service Providers Taxonomy 175T00000X Licence CG60792062 (WA)

Registry record

NPI: 1033631668
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2017
Record last updated: 1 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.