Most Relevant Information
Provider Data
| NPI Number: | 1003821976 |
| Provider Name: | BROOKS WILLIAM BAER LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 776 |
Most Important Dates
| Enumeration Date: | 07/29/2006 |
| Last Updated: | 02/05/2016 |
Provider Practice Location
902 N ORANGE ST
SUITE 102
MISSOULA
MT
598022928
Practice Location Phone/Fax
| Phone: | 4063273034 |
| Fax: | 4063273385 |
Provider Mailing Location
PO BOX 12
LIBERTY LAKE
WA
990190012
Provider Mailing Phone/Fax
| Phone: | 4065437271 |
| Fax: |