Individual provider · Type 1 NPI

Brooke Alyse Tannenbaum

Mental Health Counselor · San Diego, CA

NPI number 1275003642 Active

Practice location

480 Alta Rd
San Diego, CA 92179-0001

Mailing address

886 Sunny Brook Way
Pleasanton, CA 94566-3818

Other practice locations

  • 886 Sunny Brook Way, Pleasanton, CA 94566-3818 · (925) 354-9870
  • 2001 The Alameda, San Jose, CA 95126-1136 · (408) 261-7777
  • 2001 The Alameda, San Jose, CA 95126-1136 · (408) 261-7777

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800X17261 (CA)
Behavior Analyst 103K00000XNone listed

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About NPI 1275003642

Brooke Alyse Tannenbaum's National Provider Identifier is 1275003642, issued on Nov 28, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Sep 24, 2024.