Susan Weiss Brook
Mental Health Counselor
125 Susan Ln
Ashland
, Oregon 97520-2618
Susan Weiss Brook
Mental Health Counselor
125 Susan Ln
Ashland
, Oregon 97520-2618
(541) 488-8003
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Susan Weiss Brook
- 125 Susan Ln
- Ashland, OR
- Zip : 97520-2618
- Phone : (541) 488-8003
Second Address
- Susan Weiss Brook
- 125 Susan Ln
- Ashland, OR
- Zip : 97520-2618
- Phone : (541) 488-8003
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | LPC1061 | OR |
National Provider Identifier
| NPI | 1003132820 |
|---|---|
| Provider Name | Susan Weiss Brook |
| First Address | Ashland, OR 97520-2618 |
| Second Address | Ashland, OR 97520-2618 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2010 |
| Last Update Date | 12/05/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.