Individual
BROOK THEODORA LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 CHILDRENS CIR, SANTA ROSA, CA 95409-6558
(707) 565-4322
Mailing address
112 CHILDRENS CIR, SANTA ROSA, CA 95409-6558
(707) 565-4322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
07/20/2025
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