Individual
BROOKE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470-6094
(910) 754-4515
Mailing address
217 HAWTHORNE AVE, SWANNANOA, NC 28778-2421
(828) 778-5443
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A16112
NC
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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