Individual
AMANDA LASSIE-ROSE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 JUDAH DR, SPARTA, TN 38583-8710
(931) 319-0814
Mailing address
390 OAK GROVE RD, SPARTA, TN 38583-7126
(931) 319-0814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5026
TN
Other
Enumeration date
07/15/2019
Last updated
09/26/2022
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