Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 595 | AK |
NPI | 1003135161 |
---|---|
Provider Name | Mr. Duncan R Brooks |
First Address | Anchorage, AK 99518-1409 |
Second Address | Anchorage, AK 99518-1409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2010 |
Last Update Date | 09/01/2020 |