Individual
MRS. ANTIONETTE DENISE BROOKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3723 E DAKOTA AVE, FRESNO, CA 93726-5106
(559) 709-9169
(559) 225-5369
Mailing address
5275 N 1ST ST, FRESNO, CA 93710-7007
(559) 709-9169
(559) 225-5369
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
80890
CA
Other
Enumeration date
12/08/2006
Last updated
06/15/2018
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