Individual
BROOKE JANELL SPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
242 N MAGDALEN ST, SAN ANGELO, TX 76903-5434
(325) 944-2561
(325) 653-4218
Mailing address
242 N MAGDALEN ST, SAN ANGELO, TX 76903-5434
(325) 944-2561
(325) 653-4218
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
76574
TX
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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