Doctor Name: | SARINA LYNN BROOKS |
NPI Number: | 1003142415 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | LC11534 |
Business Practice Address: | 10 Barker St Calais, ME - 046191404 |
Business Phone Number: | 2074542745 |
Business Fax Number: | 2074547387 |
Mailing Address: | 36 S Main St, WHITNEYVILLE |
State: | ME |
Postal Code: | 046544230 |
Phone Number: | 2072559025 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2009 |
NPI Last Update Date: | 10/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC11534 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |