Individual
DEANGELO BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1105 ISLAND PARK BLVD APT 1126, SHREVEPORT, LA 71105-4783
(318) 404-7134
Mailing address
5720 S LAKESHORE DR APT 605, SHREVEPORT, LA 71119-3930
(318) 404-7134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
09/22/2020
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