Individual
BROOK JAMALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. LMFT
Contact information
Practice address
525 LIBERTY LN, EDMOND, OK 73034-9046
(405) 726-8966
Mailing address
13104 ROCK MEADOWS CIR, OKLAHOMA CITY, OK 73142-6076
(405) 830-0302
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
NA
—
Enumeration date
06/18/2018
Last updated
11/16/2020
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