Individual
SANDRA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSATP
Contact information
Practice address
4211 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 227-7100
(703) 322-1631
Mailing address
4211 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 227-7100
(703) 322-1631
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000494
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS
NC
Other
Enumeration date
01/11/2021
Last updated
08/25/2023
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