Individual
JESSICA DAWN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
Mailing address
1300 HOPPE BLVD STE 1, ADA, OK 74820-2319
(580) 436-3980
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7142
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/13/2014
Last updated
09/06/2019
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