Individual
DR. JESSICA JEAN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
6205 ABERCORN ST STE 102, SAVANNAH, GA 31405-5539
(912) 401-4711
Mailing address
PO BOX 5113, SAVANNAH, GA 31414-5113
(218) 966-0510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003921
GA
103TC1900X
Counseling Psychologist
PSY003921
GA
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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