Individual
MS. LAUREL BROOKE JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CADC
Contact information
Practice address
2526 22ND ST, ROOM 136, FORT CAMPBELL, KY 42223-5507
(270) 956-4566
Mailing address
2526 22ND ST, ROOM 136, FORT CAMPBELL, KY 42223-5507
(270) 956-4566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178.006609
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
28728
IL
Other
Enumeration date
03/08/2011
Last updated
08/07/2013
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