Organization
JOSEPH & BROOKS FAMILY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL-FUQUAN BROOKS LMFT (MARRIAGE AND FAMILY THERAPIST)
(773) 234-2571
Entity
Organization
Contact information
Practice address
1525 CIRCLE AVE, FOREST PARK, IL 60130-2629
(773) 234-2571
Mailing address
1432 CIRCLE AVE, FOREST PARK, IL 60130-2612
(773) 234-2571
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166000906
IL
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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