Provider Demographics
NPI:1285770289
Name:BROOKING, LINDA JANE (MA LMHC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JANE
Last Name:BROOKING
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:LINDY
Other - Middle Name:J
Other - Last Name:BROOKING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1396
Mailing Address - Street 2:
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368
Mailing Address - Country:US
Mailing Address - Phone:360-379-3507
Mailing Address - Fax:
Practice Address - Street 1:923 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368
Practice Address - Country:US
Practice Address - Phone:360-379-3507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004658101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor