IndividualActive
Anthony Brooks
NPI 1306581103 · Counseling Psychologist · Centralia, IL
Provider details
- NPI number
- 1306581103
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 180014390 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
8 Edgewood Ln N
Centralia, IL 62801-3708
Phone: (618) 204-8227
Approximate (ZIP-level) locationGet directions
Mailing address
8 Edgewood Ln N
Centralia, IL 62801-3708
Registry dates
- Enumerated
- 2022-05-05
- Last updated
- 2022-05-05
- Certified
- 2022-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.