Basic Information
| Provider Information | |||||||||
| NPI: | 1316023641 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROOKS | ||||||||
| FirstName: | GARFIELD | ||||||||
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| Credential: | CDS111/ CDP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11412-105TH AVE S.W. | ||||||||
| Address2: | APT # F-2 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984981306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2535828440 | ||||||||
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| Practice Location | |||||||||
| Address1: | PUGET SOUND HEALTH CARE SYSTEM | ||||||||
| Address2: | AMERICAN LAKE DIVISION (116 BLDG 148 ROOM 124) | ||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984935000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2535828440 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/30/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.