Individual
JASON CHARLES BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
52 PERRY ST, NEWNAN, GA 30263-1974
(678) 423-4610
Mailing address
125 WILLIAMS ST, 5C, CARROLLTON, GA 30117-2274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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