MRS. SHONDA RENEE BROOKS MA LAC NCC NPI 1376165811

NPI Information

NPI: 1376165811
Provider Name: MRS. SHONDA RENEE BROOKS, MA, LAC, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1007 COOPER ST
EDGEWATER PARK, NJ
ZIP 08010
Phone: (609) 447-1280
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MRS. Shonda Renee Brooks, MA, LAC, NCC is a mental health counselor in Edgewater Park, NJ. MRS. Shonda Renee Brooks, MA, LAC, NCC NPI is 1376165811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1007 COOPER ST
EDGEWATER PARK, NJ
ZIP 08010-757
Phone: (609) 447-1280

The enumeration date for this NPI number is 5/7/2020 and was last updated on 5/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	37AC00498500	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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