Doctor Name: | PAMELA DAWN BROOKS |
NPI Number: | 1316348949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | LPCCCA00195384 |
Business Practice Address: | 2025 Bypass Rd Suite 205 Brandenburg, KY - 401081605 |
Business Phone Number: | 2704223971 |
Business Fax Number: | |
Mailing Address: | 2025 Bypass Rd, Suite 205 BRANDENBURG |
State: | KY |
Postal Code: | 401081605 |
Phone Number: | 2704223971 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2014 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPCCCA00195384 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |