| Doctor Name: | MR. BRIAN C BROOKS |
| NPI Number: | 1225223357 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | MC11102 |
| Business Practice Address: | 30 Boynton St Eastport, ME - 046311306 |
| Business Phone Number: | 2078536001 |
| Business Fax Number: | 2078536180 |
| Mailing Address: | 30 Boynton St, EASTPORT |
| State: | ME |
| Postal Code: | 046311306 |
| Phone Number: | 2078536001 |
| Fax Number: | 2078536180 |
| NPI Enumeration Date: | 09/11/2007 |
| NPI Last Update Date: | 09/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MC11102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |