Individual
BROOKE KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 CHERRY ST, SANTA ROSA, CA 95404-4202
(831) 840-2382
Mailing address
651 CHERRY ST, SANTA ROSA, CA 95404-4202
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
253600
CA
Other
Enumeration date
05/26/2020
Last updated
06/03/2020
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