Provider Demographics
NPI:1689244659
Name:STREETER, BROOKE (LSW)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:
Last Name:STREETER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:BROOKE
Other - Middle Name:
Other - Last Name:DUHAMEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1017 BUCK MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-6908
Mailing Address - Country:US
Mailing Address - Phone:707-590-0417
Mailing Address - Fax:
Practice Address - Street 1:180 COUNTRY ESTATES CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-4013
Practice Address - Country:US
Practice Address - Phone:775-870-5027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical