Individual
CASEYLYNN FAYE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
2946 KY 1304, BIMBLE, KY 40915-6103
(606) 622-5484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
B14-515-621
KY
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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