Individual
KASSI J BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCGC
Contact information
Practice address
621 MEMORIAL DR STE 100, SOUTH BEND, IN 46601-1063
(574) 647-1100
(574) 647-5907
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
7201000404
MI
170300000X
Genetic Counselor (M.S.)
Primary
74000326A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730741687
—
MI
05
—
300037890
—
IN
Enumeration date
07/01/2019
Last updated
02/10/2026
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