Individual
BROOKE SORVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 MORRO RD STE D, ATASCADERO, CA 93422-4142
(805) 461-5212
Mailing address
1595 NEWPORT AVE, GROVER BEACH, CA 93433-1823
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/24/2019
Last updated
08/24/2019
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