BROOKE LANE NICHOLS

SANTA ROSA, CA
NPI1033535364
Former NameBROOKE LANE TYRWHITT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-03-11
Last Update Date2019-03-29
Business Address
BROOKE LANE NICHOLS
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
Mailing Address
BROOKE LANE NICHOLS
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403-3007
Phone number: 707-544-3295
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