Organization
JONATHAN K. BROOKS PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN KEITH BROOKS PH.D. (PRESIDENT)
(303) 838-7595
Entity
Organization
Contact information
Practice address
29029 UPPER BEAR CREEK RD, #305, EVERGREEN, CO 80439-7738
(303) 838-7595
Mailing address
29029 UPPER BEAR CREEK RD, #305, EVERGREEN, CO 80439-7738
(303) 838-7595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2815
CO
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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