Provider Demographics
NPI:1295111847
Name:STEPP, BROOKE (MS, CN, LMHCA)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:STEPP
Suffix:
Gender:F
Credentials:MS, CN, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 15TH AVE E
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-5802
Mailing Address - Country:US
Mailing Address - Phone:206-414-9365
Mailing Address - Fax:
Practice Address - Street 1:324 15TH AVE E
Practice Address - Street 2:SUITE 102
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5802
Practice Address - Country:US
Practice Address - Phone:206-414-9365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60569464101YM0800X
WANU60571006133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No133N00000XDietary & Nutritional Service ProvidersNutritionist