| Kael Brooks, Licsw, Ladc-1, Llc | |
|
5 Wallace St Methuen MA 01844-6425 | |
| (978) 620-9834 | |
| Not Available |
| Full Name | Kael Brooks, Licsw, Ladc-1, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5 Wallace St, Methuen, Massachusetts |
| Authorized Official Name and Position | Kaeleigh Brooks (CLINICIAN) |
| Authorized Official Contact | 9786209834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kael Brooks, Licsw, Ladc-1, Llc 5 Wallace St Methuen MA 01844-6425 Ph: (978) 620-9834 | Kael Brooks, Licsw, Ladc-1, Llc 5 Wallace St Methuen MA 01844-6425 Ph: (978) 620-9834 |
| NPI Number | 1730791781 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 08/20/2020 |
| Certification Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730791781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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