Emmett Everett Brooks Jr.
Counselor, Addiction (Substance Use Disorder) in Tarzana, CA. Individual provider (NPI-1).
NPI number1982160388
StatusActive
Last updated in NPPESFeb 11, 2019
Details
- NPI
- 1982160388
- Entity type
- Individual (NPI-1)
- Name
- Emmett Everett Brooks Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2019
- Last updated
- Feb 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | R1329691118 | CA | Yes |
Practice location
18646 Oxnard StTarzana, CA 91356-1411
Phone 818-996-1051
Mailing address
18646 Oxnard StTarzana, CA 91356-1411
Phone 818-996-1051
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