Individual
MARCIE P BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1502 ST FRANCIS DRIVE, SANTA FE, NM 87505
(505) 989-7754
Mailing address
15 AMIGOS LANE, SANTA FE, NM 87508
(505) 989-7754
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0692
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57092
—
NM
Enumeration date
02/17/2006
Last updated
07/08/2007
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