Individual provider · Type 1 NPI
Deidre L. Brooke, PC
Professional Counselor · Newark, OH
NPI number
1083968754
Active
Practice location
65 Messimer Dr
Newark, OH 43055-1874
Fax (740) 788-3424
Mailing address
PO Box 4670
Newark, OH 43058-4670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | C.0800136-CR (OH) |
| Professional Counselor Primary | 101YP2500X | C.0800136 (OH) |
Professional Counselor: Definition to come...
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About NPI 1083968754
Deidre L. Brooke, PC's National Provider Identifier is 1083968754, issued on Nov 2, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Newark, OH. The record was last updated on Nov 4, 2014.