Individual provider · Type 1 NPI

Evan Todd Brackenbury

Counselor · Tacoma, WA

NPI number 1982462750 Active

Practice location

8811 S Tacoma Way Ste 204&206
Tacoma, WA 98499-4595

Call (425) 217-1140 Map

Mailing address

11114 W Arica Rd
Casa Grande, AZ 85193-9033

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed
Behavior Technician 106S00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1982462750

Evan Todd Brackenbury's National Provider Identifier is 1982462750, issued on Mar 7, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Tacoma, WA. The record was last updated on Aug 19, 2024.