Individual
BROOKE ROUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICDC, LSW
Contact information
Practice address
231 LAFAYETTE ST STE E, LONDON, OH 43140-8567
(614) 792-6242
(614) 792-6240
Mailing address
28 WESTMOOR DR, LONDON, OH 43140-1058
(614) 674-7395
(614) 792-6240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.174282
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162963
OH
104100000X
Social Worker
Primary
S.2310067
OH
175T00000X
Peer Specialist
—
OH
Other
Enumeration date
11/05/2020
Last updated
02/16/2026
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