Individual
CARLY CHRISTINE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC
Contact information
Practice address
2400 EASTERN AVE SE, GRAND RAPIDS, MI 49507-3632
(616) 805-9276
(616) 326-2905
Mailing address
357 WASHINGTON ST SE APT 1, GRAND RAPIDS, MI 49503-4338
(925) 989-7631
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401019347
MI
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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