Individual
BROOKE BOND STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
3545 LONG BEACH BLVD, LONG BEACH, CA 90807-3941
(562) 490-7600
Mailing address
3545 LONG BEACH BLVD, LONG BEACH, CA 90807-3941
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
113024
CA
1041C0700X
Clinical Social Worker
113024
CA
Other
Enumeration date
05/16/2023
Last updated
06/22/2023
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