Provider Demographics
NPI:1760240238
Name:BROOKS-DOWTY, ALYSSA (LMFT)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:BROOKS-DOWTY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 JUNO ST.
Mailing Address - Street 2:
Mailing Address - City:ESQUIMALT
Mailing Address - State:BC
Mailing Address - Zip Code:V9A5J9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1233 JUNO ST.
Practice Address - Street 2:
Practice Address - City:ESQUIMALT
Practice Address - State:BC
Practice Address - Zip Code:V9A5J9
Practice Address - Country:CA
Practice Address - Phone:916-458-5970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145669106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist