Individual
CHRISTINE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 CHAMPIONS TRACE LN, #107, LOUISVILLE, KY 40218-3495
(502) 589-8600
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0471
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100287510
—
KY
Enumeration date
10/04/2011
Last updated
02/25/2015
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