Individual
MS. JENNIFER LYNN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
327 OKANOGAN AVENUE, WENATCHEE, WA 98801
(509) 662-9673
(509) 662-9441
Mailing address
P.O. BOX 950, 327 OKANOGAN AVENUE, WENATCHEE, WA 98801
(509) 662-9673
(509) 662-9441
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60954358
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2118813
—
WA
Enumeration date
04/06/2016
Last updated
09/09/2022
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