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Individual
BROOKE BRACKETT
Active
Individual
BROOKE BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.016586
IL
101YM0800X
Mental Health Counselor
180.016586
IL
101YP2500X
Professional Counselor
180.016586
IL
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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