person
Brooke Lane Nichols
Addiction (Substance Use Disorder) Counselor in Santa Rosa, California
NPI 1033535364

Brooke Lane Nichols is an Addiction (Substance Use Disorder) Counselor based in Santa Rosa, CA and is specialized in Addiction (Substance Use Disorder). Brooke Lane Nichols practices in Santa Rosa, CA. The NPI Number for Brooke Lane Nichols is 1033535364 and holds a License No. (California).

The current practice location address for Brooke Lane Nichols is 2403 Professional Dr, Santa Rosa, CA and can be reached out via phone at 707-544-3295 and via fax at 707-544-9011.

Location: 2403 Professional Dr, Santa Rosa, CA, 95403-3007
person
Provider Profile Details
NPI Number
1033535364
Provider Name
Brooke Lane Nichols
Credential
Provider Entity Type
Individual
Gender
Female
Address
2403 Professional Dr, Santa Rosa, CA, 95403-3007
Phone Number
707-544-3295
Fax Number
707-544-9011
Provider Enumeration Date
03/11/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1033535364 05 CA
institution
Provider Business Practice Location Address Details
Address
2403 Professional Dr
City
State
Zip
95403-3007
Phone Number
707-544-3295
Fax Number
707-544-9011
person
Provider Business Mailing Address Details
Address
2403 Professional Dr
City
State
Zip
95403-3007
Phone Number
707-544-3295
Fax Number
707-544-9011
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
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