Individual
BROOKE H BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C, LCADC
Contact information
Practice address
621A 2ND ST, PETALUMA, CA 94952-5123
(240) 994-4926
Mailing address
621A 2ND ST, PETALUMA, CA 94952-5123
(240) 994-4926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA400
MD
1041C0700X
Clinical Social Worker
12360
MD
1041C0700X
Clinical Social Worker
Primary
LCSW99030
CA
Other
Enumeration date
07/01/2015
Last updated
03/14/2026
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