Individual provider · Type 1 NPI
Brea Shan Fyke
Mental Health Counselor · Enumclaw, WA
NPI number
1962309641
Active
Practice location
2690 Terry Ct
Enumclaw, WA 98022-4059
Mailing address
718 Griffin Ave, Pmb 388
Enumclaw, WA 98022-3418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MHCA.MC.70130016 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1962309641
Brea Shan Fyke's National Provider Identifier is 1962309641, issued on Oct 24, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enumclaw, WA. The record was last updated on Oct 24, 2026.