Individual
ELVIS F. BROOKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1576 OAKLAND CHASE PKWY, HENRICO, VA 23231-5736
(804) 638-4009
(804) 226-1069
Mailing address
1576 OAKLAND CHASE PKWY, HENRICO, VA 23231-5736
(804) 638-4009
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0701010007
VA
101YM0800X
Mental Health Counselor
0701010007
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701010007
—
VA
Enumeration date
11/05/2020
Last updated
11/05/2020
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