Individual
KENNA MICHELLE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8475 WHITE CEDAR DR APT 822, MIAMISBURG, OH 45342-5358
(937) 576-4499
Mailing address
8475 WHITE CEDAR DR APT 822, MIAMISBURG, OH 45342-5358
(937) 576-4499
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2102685
OH
101YP2500X
Professional Counselor
Primary
E.2102685-SUPV
OH
Other
Enumeration date
04/09/2018
Last updated
02/03/2026
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