Individual
BROOKE T CAOUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27130 PASEO ESPADA STE 522, SAN JUAN CAPISTRANO, CA 92675-2719
(949) 633-0482
Mailing address
33526 VALLEY VIEW CT, DANA POINT, CA 92629-1520
(949) 293-3161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
98619
CA
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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