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NPI Code Detail

MEDICARE: MS. MONIQUE ANETRIA BROOKS LCPC, NCC (202915)

MEDICARE:  MS. MONIQUE ANETRIA BROOKS  LCPC, NCC (202915)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1073786679
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONIQUE ANETRIA BROOKS LCPC, NCC (202915)
Provider Business Mailing Address
First Line : 9201 PHILADELPHIA RD
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-4318
Country : US
Telephone Number : 410-453-9553
Fax Number :
Provider Business Practice Location Address
First Line : 9201 PHILADELPHIA RD
Second Line :
City : BALTIMORE
State : MD
Zip : 21237-4318
Country : US
Telephone Number : 410-453-9553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2008
Last Update Date : 06/17/2021

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Directions to “ MS. MONIQUE ANETRIA BROOKS LCPC, NCC (202915)” Practice Location

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