Individual
DR. JONATHAN KEITH BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
29029 UPPER BEAR CREEK RD STE 305, EVERGREEN, CO 80439-7722
(303) 838-7595
Mailing address
PO BOX 1532, CONIFER, CO 80433-1532
(303) 838-7595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2815
CO
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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