Provider Demographics
NPI:1508210196
Name:HUGHES-MUSE, BROOKE (CD, CLC)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:HUGHES-MUSE
Suffix:
Gender:F
Credentials:CD, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 VT ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:PAWLET
Mailing Address - State:VT
Mailing Address - Zip Code:05761-9542
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3209 VT ROUTE 30
Practice Address - Street 2:
Practice Address - City:PAWLET
Practice Address - State:VT
Practice Address - Zip Code:05761-9542
Practice Address - Country:US
Practice Address - Phone:410-504-2692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-20
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator