Individual
ASMYNE DE'TRICE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W WALKER AVE, ASHEBORO, NC 27203-6760
(336) 633-7000
Mailing address
407 AHOSKIE COFIELD RD, AHOSKIE, NC 27910-8819
(336) 944-5446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCASA24130
NC
101YP2500X
Professional Counselor
Primary
A13710
NC
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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