Individual
LAKEESHA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHSIII
Contact information
Practice address
1289 E LIVINGSTON AVE, COLUMBUS, OH 43205-2838
(614) 252-8402
(614) 252-7987
Mailing address
2100 STELLA CT, COLUMBUS, OH 43215-1011
(614) 252-8402
(614) 252-7987
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OH
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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