Gary Brooks, LICDC-CS

NPI #1396276176 in Jefferson, Ohio

Provider Information

NPI Number: 1396276176
Entity Type: Individual
Name: Gary Brooks, LICDC-CS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LICDC-CS
Enumeration Date: Mar 23, 2017
Last Updated: Mar 23, 2017

Practice Location

Address: 179 GARFIELD LN
City: Jefferson
State: Ohio
ZIP Code: 44047-1060
Phone: (440) 994-4752

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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