Provider Demographics
NPI:1033696737
Name:BROOKS, CRAIG ANTHONY (LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:ANTHONY
Last Name:BROOKS
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 DEVONSHIRE DR STE 115
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-6076
Mailing Address - Country:US
Mailing Address - Phone:706-576-6575
Mailing Address - Fax:706-507-0590
Practice Address - Street 1:2013 DEVONSHIRE DR STE 115
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-6076
Practice Address - Country:US
Practice Address - Phone:706-576-6575
Practice Address - Fax:706-507-0590
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC010161101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor