Most Relevant Information
Provider Data
| NPI Number: | 1003451329 |
| Provider Name: | BROOKE HALL ALLENDER RADECH TLMHC, NCC, SCHOOLCO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 098346 |
Most Important Dates
| Enumeration Date: | 11/11/2019 |
| Last Updated: | 11/27/2023 |
Provider Practice Location
3625 UTICA RIDGE RD STE F
BETTENDORF
IA
527221653
Practice Location Phone/Fax
| Phone: | 5633596750 |
| Fax: |
Provider Mailing Location
27011 151ST AVE
LONG GROVE
IA
527568719
Provider Mailing Phone/Fax
| Phone: | 5634683333 |
| Fax: |