Individual
KIM BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W CROGAN ST, STE A, LAWRENCEVILLE, GA 30046-3238
(678) 386-1895
(678) 623-8300
Mailing address
PO BOX 1654, LAWRENCEVILLE, GA 30046-1654
(678) 386-1895
(678) 623-8300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004369
GA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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