Individual
MISS BROOKE LEIGH BRUNKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
419 COLBY LANCE ST, STILLWATER, OK 74074-8304
(405) 408-2246
Mailing address
419 COLBY LANCE ST, STILLWATER, OK 74074-8304
(405) 408-2246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4721
OK
Other
Enumeration date
05/10/2007
Last updated
06/04/2024
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