Doctor Name: | ERICA A BROOKS |
NPI Number: | 1003119603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2526 |
Business Practice Address: | 1321 First St W Ahoskie, NC - 279108842 |
Business Phone Number: | 2522098932 |
Business Fax Number: | |
Mailing Address: | 1321 First St W, AHOSKIE |
State: | NC |
Postal Code: | 279108842 |
Phone Number: | 2522098932 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2010 |
NPI Last Update Date: | 12/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 2526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |