Individual
BROOK THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHT
Contact information
Practice address
22 WESTVIEW DR, COLLINS, MS 39428-3990
(601) 765-4514
(601) 765-8941
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2618
MS
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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