Individual
MR. BRIAN EDWARD BROOM-PELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10038 MEADOW WAY UNIT D, TRUCKEE, CA 96161-4974
(530) 426-2110
Mailing address
16189 SKISLOPE WAY, TRUCKEE, CA 96161-7037
(603) 548-6447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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