Individual
DR. LEONIE JEANNENE BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
20 CROSSROADS DR, SUITE 104, OWINGS MILLS, MD 21117-5419
(410) 303-6722
(410) 363-9262
Mailing address
20 CROSSROADS DR, SUITE 104, OWINGS MILLS, MD 21117-5419
(410) 303-6722
(410) 363-9262
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
03292
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GP72LJ
BLUE CROSS BLUE SHIELD
MD
01
—
S2010001
BLUE CROSS BLUE SHIELD
MD
Enumeration date
05/18/2007
Last updated
07/08/2007
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