| Doctor Name: | DR. BARRY G BROOKS |
| NPI Number: | 1184612418 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, LCPC |
| License Number: | LCPC29 |
| Business Practice Address: | 306 N Spokane St Suite I Post Falls, ID - 838547016 |
| Business Phone Number: | 2087778500 |
| Business Fax Number: | 2087778721 |
| Mailing Address: | 306 N Spokane St, Suite I POST FALLS |
| State: | ID |
| Postal Code: | 838547016 |
| Phone Number: | 2087778500 |
| Fax Number: | 2087778721 |
| NPI Enumeration Date: | 10/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LCPC29 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |