Individual
CARL DAVID BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LPC
Contact information
Practice address
2530 SCOTTSVILLE RD, SUITE 23, BOWLING GREEN, KY 42104-6310
(270) 393-0074
(270) 393-0067
Mailing address
2530 SCOTTSVILLE RD, SUITE 23, BOWLING GREEN, KY 42104-6310
(270) 393-0074
(270) 393-0067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0198
KY
101YP2500X
Professional Counselor
1426
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29100302
KENTUCKY IMPACT PLUS
KY
Enumeration date
12/05/2008
Last updated
12/05/2008
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