Doctor Name: | BROOKE ALEXANDRA MCLEOD |
NPI Number: | 1093143224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LCAS-A |
License Number: | 20355-A |
Business Practice Address: | 810 Chapel Hill Rd Spring Lake, NC - 283902140 |
Business Phone Number: | 9109167881 |
Business Fax Number: | |
Mailing Address: | 810 Chapel Hill Rd, SPRING LAKE |
State: | NC |
Postal Code: | 283902140 |
Phone Number: | 9109167881 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2013 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 20355-A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |