| Doctor Name: | MS. BETTY LEE BROOKS |
| NPI Number: | 1730308305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LCPC |
| License Number: | LCPC 3366 |
| Business Practice Address: | 1811 Laurelwood Dr Hailey, ID - 83333 |
| Business Phone Number: | 2083090237 |
| Business Fax Number: | 2087889317 |
| Mailing Address: | Po Box 981, HAILEY |
| State: | ID |
| Postal Code: | 83333 |
| Phone Number: | 2083090237 |
| Fax Number: | 2087889317 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LCPC 3366 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |