Individual
TYNISHA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1827 W GENTRY PKWY, TYLER, TX 75702-3929
(903) 630-7464
Mailing address
19957 CHANNEL VIEW DR, FLINT, TX 75762-9290
(323) 326-3266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12498
TX
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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