Provider Demographics
NPI:1265023626
Name:BROOKS, CONSTANCE FRANCHELL (MSW, CDCA)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:FRANCHELL
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MSW, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 LOCKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43612-1210
Mailing Address - Country:US
Mailing Address - Phone:419-214-7374
Mailing Address - Fax:
Practice Address - Street 1:3825 LOCKWOOD AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43612-1210
Practice Address - Country:US
Practice Address - Phone:419-214-7374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)