Individual
BROOKE DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 1662, HAWTHORNE, CA 90251-1662
(310) 906-0273
Mailing address
PO BOX 1662, HAWTHORNE, CA 90251-1662
(310) 383-8913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
95804
CA
1041C0700X
Clinical Social Worker
Primary
111931
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2020
Last updated
09/24/2024
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