MARY M BROOKS LADC LPCC NPI 1407461809

NPI Information

NPI: 1407461809
Provider Name: MARY M BROOKS, LADC, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1619 DAYTON AVE STE 325
SAINT PAUL, MN
ZIP 55104
Phone: (612) 987-6120
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Mary M Brooks, LADC, LPCC is a professional counselor in Saint Paul, MN. Mary M Brooks, LADC, LPCC NPI is 1407461809. 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:

1619 DAYTON AVE STE 325
SAINT PAUL, MN
ZIP 55104-495
Phone: (612) 987-6120

The enumeration date for this NPI number is 9/11/2020 and was last updated on 9/11/2020.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	303714	MINNESOTA	No
2	101YP2500X	Counselor	Professional	2590	MINNESOTA	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: 4/28/2024

NPI Synchronization or Removal

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