Individual
ROSS DOUGLAS BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
300 DELMAR CT APT 7, FORT WORTH, TX 76108
(817) 902-3197
Mailing address
300 DELMAR CT APT 7, FORT WORTH, TX 76108
(817) 902-3197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15314
TX
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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