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Individual

BROOKLYN SPIRITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC, NCC

Contact information

Practice address
401 W BRISTOL ST, ELKHART, IN 46514-3019
(574) 402-1400
Mailing address
401 W BRISTOL ST, ELKHART, IN 46514-3019
(574) 402-1400
(574) 401-1500

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
39003882A
IN
101YM0800X
Mental Health Counselor

Other

Enumeration date
12/15/2017
Last updated
03/04/2023
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