Individual
STEPHANIE RENEE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
940 LASLEY DR, LEBANON, IN 46052-1480
(888) 714-1927
Mailing address
940 LASLEY DR, LEBANON, IN 46052-1480
(888) 714-1927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2007025728
MO
101YM0800X
Mental Health Counselor
61921
TX
101YM0800X
Mental Health Counselor
8515
NC
101YM0800X
Mental Health Counselor
Primary
C3010
OR
101YM0800X
Mental Health Counselor
—
IN
Other
Enumeration date
05/30/2007
Last updated
06/28/2022
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