Individual
GAGE BROOKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 S 7 HWY, BLUE SPRINGS, MO 64014-3539
(816) 308-0246
(816) 566-0486
Mailing address
441 NW W HWY, KINGSVILLE, MO 64061-9117
(816) 308-0246
(816) 566-0486
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2023033771
MO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/22/2021
Last updated
12/08/2023
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