Provider Demographics
NPI:1063795722
Name:BROOKS, BRYCE DOWNEY (LCSW)
Entity type:Individual
Prefix:MS
First Name:BRYCE
Middle Name:DOWNEY
Last Name:BROOKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1251
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-0042
Mailing Address - Country:US
Mailing Address - Phone:541-621-0303
Mailing Address - Fax:541-482-8481
Practice Address - Street 1:149 CLEAR CREEK DR.
Practice Address - Street 2:SUITE 103
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1882
Practice Address - Country:US
Practice Address - Phone:541-621-0303
Practice Address - Fax:541-482-8481
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor