Brooks, Everest Cameron

Brooks, Everest Cameron is an individual health care provider with primary practice located at 12970 W Bluemound Rd Suite 105, Elm Grove WI 53122-2607. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brooks, Everest Cameron can be contacted via phone (262) 787-2907.

Contact Information

Primary practice address
12970 W Bluemound Rd Suite 105 Elm Grove WI 53122-2607
Phone: (262) 787-2907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7364-123 Wisconsin

Profile Details

NPI number 1184631624
LBN Legal business name Brooks, Everest Cameron
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 15th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184631624 NPPES
Wisconsin MEDICAID 43722400

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