Individual
KASSI J BROOKS
Active
Individual
KASSI J BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCGC
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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