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Contact Information

ANTHONY BROOKS
8 EDGEWOOD LN N
CENTRALIA, IL62801-3708
 Phone: 618-204-8227
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ANTHONY BROOKS · (Male)

NPI Number 1306581103
Status Active
Credentials
Entity Individual
Enumeration date 05/05/2022
Last updated 05/05/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 180014390
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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