Doctor Name: | DR. PATRICIA ANNE BROOKS |
NPI Number: | 1235268988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD. LCSW |
License Number: | LCS22148 |
Business Practice Address: | 347 Andrieux St Integrative Medicine Sonoma, CA - 954766811 |
Business Phone Number: | 7079355137 |
Business Fax Number: | 7079355153 |
Mailing Address: | 15205 Sonoma Hwy, GLEN ELLEN |
State: | CA |
Postal Code: | 954429455 |
Phone Number: | 7073377524 |
Fax Number: | 7079355153 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCS22148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |