Provider Demographics
NPI:1316023641
Name:BROOKS, GARFIELD (CDS111/ CDP)
Entity type:Individual
Prefix:
First Name:GARFIELD
Middle Name:
Last Name:BROOKS
Suffix:
Gender:M
Credentials:CDS111/ CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11412-105TH AVE S.W.
Mailing Address - Street 2:APT # F-2
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-1306
Mailing Address - Country:US
Mailing Address - Phone:253-582-8440
Mailing Address - Fax:
Practice Address - Street 1:PUGET SOUND HEALTH CARE SYSTEM
Practice Address - Street 2:AMERICAN LAKE DIVISION (116 BLDG 148 ROOM 124)
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-5000
Practice Address - Country:US
Practice Address - Phone:253-582-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor