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General NPI Number Information
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NPI Number | 1861022527
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Entity Type | Individual
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Provider Name | DEIDRE DENISE BROOKS LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 07/27/2025
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Provider Practice Location Address
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Address Line | 14 N 5TH ST # 127
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City | ZANESVILLE
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State | OH
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Zip | 43701-3503
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Country | US
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Telephone | 740-755-4730
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Fax |
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Provider Business Mailing Address
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Address Line | 14 N 5TH ST # 127
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City | ZANESVILLE
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State | OH
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Zip | 43701-3503
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Country | US
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Telephone | 740-755-4730
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2303928
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License Number State | OH
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