Individual
AUGUSTA I BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2211 RIVER RD, MAUMEE, OH 43537-3637
(419) 740-3052
Mailing address
R353 COUNTY ROAD 6C, LIBERTY CENTER, OH 43532-9558
(567) 280-2602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2204266
OH
101YM0800X
Mental Health Counselor
C2002582-TRNE
OH
Other
Enumeration date
08/25/2020
Last updated
10/06/2022
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