Individual
BROOKE ANN TEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W COLUMBUS ST, BAKERSFIELD, CA 93301-1263
(661) 451-5134
(661) 631-0876
Mailing address
501 W COLUMBUS ST, BAKERSFIELD, CA 93301-1263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1445040921
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
Other
Enumeration date
09/08/2021
Last updated
10/01/2021
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