Individual
JASON PATRICK BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
919 W KIRBY AVE, CHAMPAIGN, IL 61821-5121
(217) 714-7042
Mailing address
207 E HEALEY ST APT 5, CHAMPAIGN, IL 61820-5591
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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