Individual
CRYSTAL BROOKTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 E SHAW AVE, SUITE 210, FRESNO, CA 93710-7621
(559) 221-8100
(559) 221-8101
Mailing address
114 E SHAW AVE, SUITE 210, FRESNO, CA 93710-7621
(559) 221-8100
(559) 221-8101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/10/2009
Last updated
01/10/2009
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