Individual provider · Type 1 NPI
Brooke Lane Nichols
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1033535364
Active
Practice location
2403 Professional Dr
Santa Rosa, CA 95403-3007
Fax (707) 544-9011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1033535364
Brooke Lane Nichols's National Provider Identifier is 1033535364, issued on Mar 11, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Mar 29, 2019.