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Organization
UNTAMED THERAPY AND CONSULTING
Active
Organization
UNTAMED THERAPY AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RAE BROOKS LMHC (LMHC)
(239) 404-5222
Entity
Organization
Contact information
Practice address
3321 DEL PRADO BLVD S STE 12, CAPE CORAL, FL 33904-7263
(941) 876-8033
(239) 439-7822
Mailing address
3321 DEL PRADO BLVD S STE 12, CAPE CORAL, FL 33904-7263
(941) 876-8033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
01/14/2025
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