Barbara Brodkowitz, LMHC

Individual provider Active NPI Mental Health Counselor · Aberdeen, WA

NPI 1811266356 · NPPES record last updated Mar 12, 2012

Key facts

NPI
1811266356
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
LH60230842 (WA)
Practice address
403 W State St
Suite 103
Aberdeen, WA 98520-6139
Phone
(360) 532-0730
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LH60230842WAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60230842 WA Yes

Addresses

Primary practice location

403 W State St
Suite 103
Aberdeen, WA 98520-6139

Mailing address

2685 E Hoquiam Rd
Hoquiam, WA 98550-9116
Phone (360) 637-8696

Other names

  • Mrs. Barbara Brodkowitz Boog Other name

Other providers in Aberdeen, WA

All providers in Aberdeen, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.