Individual
MRS. LONNA JOAN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
202 S WASHITA AVE, WYNNEWOOD, OK 73098-7820
(405) 665-4385
(405) 665-6396
Mailing address
202 S WASHITA AVE, WYNNEWOOD, OK 73098-7820
(405) 665-4385
(405) 665-6396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100749080A
—
OK
05
—
100749080C
—
OK
Enumeration date
02/09/2009
Last updated
09/25/2018
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