Provider Information for 1184612418
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Dr. BARRY G BROOKS PhD, LCPC
Sex: Male
NPI: 1184612418
Last Updated: 2024-04-17
Certification Date: 2024-04-17
Certification Date: 2024-04-17
Details
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NPI | 1184612418 | ||||||||
Enumeration Date | 2005-10-11 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1800 N MIDLAND BLVD NAMPA, ID 83651-1747 United States Phone: 208-615-1313 | Fax:208-960-1775 | ||||||||
Primary Practice Address | 1800 MIDLAND BLVD NAMPA, ID 83651-7016 United States Phone: 208-340-0292 | Fax:280-960-1775 | ||||||||
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