Individual
TOSHEMA DENISE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, CAC, ICADC
Contact information
Practice address
26 VALLEY PL S, NEW HAVEN, CT 06515-1226
(203) 809-8204
Mailing address
26 VALLEY PL S, NEW HAVEN, CT 06515-1226
(203) 809-8204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20342
MA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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