Individual
MR. BROOKS ROBERT KRUMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
943 CESERY BLVD STE G, JACKSONVILLE, FL 32211-5655
(904) 745-0067
Mailing address
943 CESERY BLVD STE G, JACKSONVILLE, FL 32211-5655
(904) 745-0067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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