Healthcare Provider Details

I. General information

NPI: 1306750393
Provider Name (Legal Business Name): BROOKLIN JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 N BLUFF BLVD STE 206
CLINTON IA
52732-7146
US

IV. Provider business mailing address

110 PINE ST
GALESBURG IL
61401-5114
US

V. Phone/Fax

Practice location:
  • Phone: 319-409-6922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: