Individual
MR. JEFFREY BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LLPC,LAD,CAC-I
Contact information
Practice address
150 W HILDALE, DETROIT, MI 48203-1948
(313) 893-5034
Mailing address
1400 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2651
(248) 547-2223
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
620390564853
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631090
—
MI
Enumeration date
09/02/2006
Last updated
03/07/2008
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