Individual
BILLY BERNEARD BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.D.C.
Contact information
Practice address
401 W TWOHIG AVE, SAN ANGELO, TX 76903-6321
(325) 655-7777
(325) 659-4316
Mailing address
3553 W HOUSTON HARTE EXPY, SAN ANGELO, TX 76901-2664
(325) 224-3481
(325) 224-4923
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065284402
—
TX
Enumeration date
06/13/2019
Last updated
06/13/2019
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