Individual
SUSAN A BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1961 2ND ST, ONEKAMA, MI 49675-8729
(269) 679-7217
Mailing address
1961 2ND ST, ONEKAMA, MI 49675-8729
(269) 679-7217
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401014076
MI
106H00000X
Marriage & Family Therapist
Primary
4101006415
MI
106H00000X
Marriage & Family Therapist
845-124
WI
Other
Enumeration date
08/16/2010
Last updated
11/06/2023
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