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Provider Information for 1548845886


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CHRISTINA A BROOKS LPC


Sex: Female

NPI: 1548845886
Last Updated: 2024-11-04
Certification Date: 2024-11-04

Details

NameValue
NPI1548845886
Enumeration Date2021-03-17
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 8931 GALLOP CHASE
SAN ANTONIO, TX 78254-5727
United States

Phone: 210-683-5234 | Fax:
 
Primary Practice Address 540 MADISON OAK DR STE 340
SAN ANTONIO, TX 78258-3921
United States

Phone: 210-789-7683 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX101YP2500X