Individual
BROOKE DEFROSCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2975 S RAINBOW BLVD, STE E, LAS VEGAS, NV 89146-6242
(702) 228-8520
(702) 448-7205
Mailing address
2975 S RAINBOW BLVD, LAS VEGAS, NV 89146-6242
(702) 228-8520
(702) 448-7205
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01639-L
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306042353
—
NV
Enumeration date
12/18/2015
Last updated
01/26/2016
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