Individual
MRS. VIRGINIA ANN BROOKSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
379 NEW MARKET BLVD STE 1, BOONE, NC 28607-3765
(336) 722-7266
(336) 201-0538
Mailing address
713 S MARSHALL ST, WINSTON SALEM, NC 27101-5808
(336) 722-7266
(336) 201-0538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20828
NC
101YM0800X
Mental Health Counselor
111369
NC
Other
Enumeration date
07/10/2014
Last updated
04/05/2023
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