Most Relevant Information
Provider Data
| NPI Number: | 1003458373 |
| Provider Name: | CHARNYKA DESIREE BROOKS CSAC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 25897 |
Most Important Dates
| Enumeration Date: | 10/08/2019 |
| Last Updated: | 10/08/2019 |
Provider Practice Location
140 N STEELE ST STE 17
SANFORD
NC
273303967
Practice Location Phone/Fax
| Phone: | 9193489231 |
| Fax: |
Provider Mailing Location
PO BOX 2036
SANFORD
NC
273312036
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |