Individual
JESSICA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1855 E SOUTHERN AVE STE 111, MESA, AZ 85204-5227
(480) 416-0619
Mailing address
1855 E SOUTHERN AVE, MESA, AZ 85204-5241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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