Individual
CASSANDRA BROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 WILLOW PASS RD STE 101, CONCORD, CA 94520-5225
(925) 825-1793
Mailing address
1030 E EL CAMINO REAL # 246, SUNNYVALE, CA 94087-3759
(408) 476-8957
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2018
Last updated
06/12/2023
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