Individual
MS. CAROLYN MERRY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 301-3704
Mailing address
3035 GARY DR, MEDFORD, OR 97504-9225
(541) 301-3704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
06/13/2023
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