Individual
GARY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICDC-CS
Contact information
Practice address
179 GARFIELD LN, JEFFERSON, OH 44047-1060
(440) 994-4752
Mailing address
179 GARFIELD LN, JEFFERSON, OH 44047-1060
(440) 994-4752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101100
OH
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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