Individual
JENNIFER LYNNE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
1100 KNOTT ST SE, ATLANTA, GA 30316-3124
(404) 579-1934
(404) 627-2176
Mailing address
1100 KNOTT ST SE, ATLANTA, GA 30316-3124
(404) 579-1934
(404) 627-2176
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004255
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12016853
CENPATICO
GA
Enumeration date
11/03/2009
Last updated
11/03/2009
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