Individual
BROOK PATRICE MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11509 212TH ST, LAKEWOOD, CA 90715-2054
(562) 412-8187
Mailing address
11509 212TH ST, LAKEWOOD, CA 90715-2054
(562) 412-8187
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
10/12/2024
Last updated
10/12/2024
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