Individual
JESSE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 26TH AVE, FAIRBANKS, AK 99701-6832
(907) 456-1717
Mailing address
1203 26TH AVE, FAIRBANKS, AK 99701-6832
(907) 456-1717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/05/2019
Last updated
10/05/2019
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