Individual
CHRISTIAN SCOTT BROOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
675 CLOVER VALLEY RD, UPPER LAKE, CA 95485-9220
(707) 275-2655
Mailing address
675 CLOVER VALLEY RD, UPPER LAKE, CA 95485-9220
(707) 275-2655
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
250160267
CA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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