GARY BROOKS LICDC-CS NPI 1396276176

NPI Information

NPI: 1396276176
Provider Name: GARY BROOKS, LICDC-CS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
179 GARFIELD LN
JEFFERSON, OH
ZIP 44047
Phone: (440) 994-4752
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Gary Brooks, LICDC-CS is an addiction (substance use disorder) counselor in Jefferson, OH. Gary Brooks, LICDC-CS NPI is 1396276176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

179 GARFIELD LN
JEFFERSON, OH
ZIP 44047-060
Phone: (440) 994-4752

The enumeration date for this NPI number is 3/23/2017 and was last updated on 3/23/2017.

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)	101100	OHIO	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: 11/14/2023

NPI Synchronization or Removal

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