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NPI Code Detail

MEDICARE: WHITNEY LU BROOKS-HUNTOON LMSW, CADC

MEDICARE: WHITNEY LU BROOKS-HUNTOON LMSW, CADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor2-01294MI
2104100000XSocial Worker6801103951MI

General Provider Information

NPI Number : 1801432695
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY LU BROOKS-HUNTOON LMSW, CADC
Provider Business Mailing Address
First Line : 9774 RIVERSIDE DR
Second Line :
City : SAINT LOUIS
State : MI
Zip : 48880-9454
Country : US
Telephone Number : 989-306-0885
Fax Number :
Provider Business Practice Location Address
First Line : 2790 HEALTH PKWY
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-6934
Country : US
Telephone Number : 989-779-5270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2019
Last Update Date : 02/13/2025

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