Individual provider · Type 1 NPI
Gary Brooks, LICDC-CS
Addiction (Substance Use Disorder) Counselor · Jefferson, OH
NPI number
1396276176
Active
Practice location
179 Garfield Ln
Jefferson, OH 44047-1060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 101100 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Jefferson
About NPI 1396276176
Gary Brooks, LICDC-CS's National Provider Identifier is 1396276176, issued on Mar 23, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jefferson, OH. The record was last updated on Mar 23, 2017.