Individual
MISS BROOKE ANN COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4990 WILLIAMS AVE, LA MESA, CA 91942-7409
(619) 688-4203
Mailing address
8910 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92123-1104
(619) 668-4209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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