Individual
VALAYSHIA T BROOKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1635 CAPITOL AVE # 2, BRIDGEPORT, CT 06604-1525
(203) 543-6615
(203) 371-8200
Mailing address
1635 CAPITOL AVE # 2, BRIDGEPORT, CT 06604-1525
(203) 543-6615
(203) 371-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
004388
CT
101YM0800X
Mental Health Counselor
004388
CT
101YP2500X
Professional Counselor
Primary
004388
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004388
CT DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
06/09/2020
Last updated
06/09/2020
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