Doctor Name: | MS. JUDY ALICE BROOKS |
NPI Number: | 1295875086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 5060HV |
Business Practice Address: | 116 Second St Hallowell, ME - 04347 |
Business Phone Number: | 2076235242 |
Business Fax Number: | 2076235242 |
Mailing Address: | 116 Second St, HALLOWELL |
State: | ME |
Postal Code: | 04347 |
Phone Number: | 2076235242 |
Fax Number: | 2076226988 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5060HV |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |