Individual
TERRY HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CATC III, APCC
Contact information
Practice address
2731 NUGGET AVE, LAKE ISABELLA, CA 93240-9456
(760) 379-3412
Mailing address
2731 NUGGET AVE, LAKE ISABELLA, CA 93240-9456
(760) 223-5057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
092114-III
CA
101YP2500X
Professional Counselor
Primary
11623
CA
Other
Enumeration date
01/08/2014
Last updated
06/20/2023
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