Individual
DAVID C BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDCII, ADC
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.121047
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0271917
—
OH
Enumeration date
11/13/2017
Last updated
02/25/2021
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