Individual
JACLYN DENISE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
1112 NOLAN TRCE # B, LEESVILLE, LA 71446-3838
(337) 404-7131
Mailing address
1112 NOLAN TRCE STE B, LEESVILLE, LA 71446-3838
(318) 404-7731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
04/03/2025
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