Provider Demographics
NPI:1437549300
Name:BROOKMAN, AMBER (MA, CAS, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:
Last Name:BROOKMAN
Suffix:
Gender:F
Credentials:MA, CAS, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6159 S FENTON CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-6827
Mailing Address - Country:US
Mailing Address - Phone:720-206-8816
Mailing Address - Fax:
Practice Address - Street 1:6159 S FENTON CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-6827
Practice Address - Country:US
Practice Address - Phone:720-206-8816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-30
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007136101YA0400X
COACC.0997992101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)