NPI 1013410315

Randolph Brooks, PHD

Practitioner Counselor Norwich, CT

Practice location

Address: 40 Connecticut Ave, Norwich, CT 06360-1502
Phone: (860) 889-7274

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 3400 (CT)

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Registry record

NPI: 1013410315
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2018
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.