Individual provider · NPI-1

Matthew Brooks, Registered Art Thera

Counselor, Professional · Ashburn, VA

NPI number1265015200
StatusActive
Last updated in NPPESApr 28, 2021

Details

NPI
1265015200
Entity type
Individual (NPI-1)
Name
Matthew Brooks
Credential
Registered Art Thera
Sex
Male
Sole proprietor
No
Enumeration date
Apr 28, 2021
Certification date
Apr 28, 2021
Last updated
Apr 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

44335 Premier Plz Ste 230
Ashburn, VA 20147-5052

Phone 714-980-1095

Mailing address

44335 Premier Plz Ste 230
Ashburn, VA 20147-5052

Phone 714-980-1095

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