Provider Demographics
NPI:1104952472
Name:BROOKS, WARNELL RN
Entity type:Individual
Prefix:MR
First Name:WARNELL
Middle Name:RN
Last Name:BROOKS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 W BUCHANAN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-6558
Mailing Address - Country:US
Mailing Address - Phone:925-381-2494
Mailing Address - Fax:
Practice Address - Street 1:217 W BUCHANAN RD APT 139
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-6558
Practice Address - Country:US
Practice Address - Phone:925-381-2494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health