Individual provider · Type 1 NPI
Michael Brouillette, ED.D, LMHC, CHT
Mental Health Counselor · Puyallup, WA
NPI number
1356099279
Active
Practice location
4411 2nd St SW Ste 3
Puyallup, WA 98373-3726
Mailing address
15315 95th Avenue Ct E
Puyallup, WA 98375-6712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LH61249379 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1356099279
Michael Brouillette, ED.D, LMHC, CHT's National Provider Identifier is 1356099279, issued on Mar 10, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Puyallup, WA. The record was last updated on Mar 10, 2022.