MEDICARE: MS. BRYCE DOWNEY BROOKS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1063795722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRYCE DOWNEY BROOKS LCSW

Provider Business Mailing Address
First Line	:	PO BOX 1251
Second Line	:
City	:	ASHLAND
State	:	OR
Zip	:	97520-0042
Country	:	US
Telephone Number	:	541-621-0303
Fax Number	:	541-482-8481

Provider Business Practice Location Address
First Line	:	149 CLEAR CREEK DR.
Second Line	:	SUITE 103
City	:	ASHLAND
State	:	OR
Zip	:	97520-1882
Country	:	US
Telephone Number	:	541-621-0303
Fax Number	:	541-482-8481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	02/24/2017

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