Doctor Name: | JAQUELINE ROSE BROOKS |
NPI Number: | 1386745560 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 5994 |
Business Practice Address: | 453b East Center St West Bridgewater, MA - 023791815 |
Business Phone Number: | 5083459979 |
Business Fax Number: | 5085860118 |
Mailing Address: | 453b East Center St, WEST BRIDGEWATER |
State: | MA |
Postal Code: | 023791815 |
Phone Number: | 5083459979 |
Fax Number: | 5085860118 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |