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Lori Brookhart

Counselor, Mental Health in Dayton, OH. Individual provider (NPI-1).

NPI number1982148730
StatusActive
Last updated in NPPESDec 13, 2016

Details

NPI
1982148730
Entity type
Individual (NPI-1)
Name
Lori Brookhart
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 13, 2016
Last updated
Dec 13, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthE.1300082OHYes
101YA0400X Counselor, Addiction (Substance Use Disorder)LICDC.111003OH
104100000X Social WorkerS.0800395OH

Practice location

1458 Yankee Park Pl
Suite P
Dayton, OH 45458-1959

Phone 937-952-5011

Mailing address

1458 Yankee Park Pl
Suite P
Dayton, OH 45458-1959

Phone 937-952-5011

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