Individual
BROOKE EMILY DICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 S MYRTLE AVE FL 2, MONROVIA, CA 91016-3427
(626) 357-3258
Mailing address
1160 S GRAND AVE, GLENDORA, CA 91740-5000
(626) 335-5980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
89272
CA
Other
Enumeration date
06/25/2018
Last updated
08/05/2019
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