Individual
BROOKE MIKESELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 OAKFORD CIR, CLARKS SUMMIT, PA 18411-7836
(570) 575-7856
Mailing address
223 HOLLY LN, CLARKS SUMMIT, PA 18411-2045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC015096
PA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC015096
PA
Other
Enumeration date
02/18/2021
Last updated
03/27/2025
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