Individual provider · Type 1 NPI
Carly Christine Brooks, MA, LLPC
Professional Counselor · Grand Rapids, MI
NPI number
1629643119
Active
Practice location
2400 Eastern Ave SE
Grand Rapids, MI 49507-3632
Fax (616) 326-2905
Mailing address
357 Washington St SE Apt 1
Grand Rapids, MI 49503-4338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 6401019347 (MI) |
Professional Counselor: Definition to come...
4 other providers at this address
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About NPI 1629643119
Carly Christine Brooks, MA, LLPC's National Provider Identifier is 1629643119, issued on May 26, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on May 26, 2021.