Provider Demographics
NPI:1952494452
Name:KAPUSTIK, BROOKE M (MA, CAADC)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:M
Last Name:KAPUSTIK
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Gender:F
Credentials:MA, CAADC
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Mailing Address - Street 1:223 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-2933
Mailing Address - Country:US
Mailing Address - Phone:724-454-6228
Mailing Address - Fax:412-380-0200
Practice Address - Street 1:4105 MONROEVILLE BLVD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2607
Practice Address - Country:US
Practice Address - Phone:412-380-0100
Practice Address - Fax:412-380-0200
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2024-01-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)