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Individual

SUSIE JOY BROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11723 STINSON AVE, CHISAGO CITY, MN 55013-9542
(651) 462-6372
Mailing address
11723 STINSON AVE, CHISAGO CITY, MN 55013-9542
(651) 462-6372

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
306602
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
306602
MN
101YM0800X
Mental Health Counselor
306602
MN

Other

Enumeration date
09/06/2025
Last updated
09/06/2025
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