Individual
ALEXIS BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9606 WESLAND CIR, RANDALLSTOWN, MD 21133-2042
(443) 527-2666
Mailing address
9606 WESLAND CIR, RANDALLSTOWN, MD 21133-2042
(443) 527-2666
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00141859001
—
MD
Enumeration date
06/25/2019
Last updated
06/25/2019
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