BROOKE DANIELLE SULLIVAN

LA VERNE, CA
NPI1578945226
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-06-18
Last Update Date2015-06-18
Business Address
-- BROOKE DANIELLE SULLIVAN
6621 STEPHENS RANCH RD
LA VERNE, CA 91750-1146
Phone number: 909-596-7484
Mailing Address
-- BROOKE DANIELLE SULLIVAN
6621 STEPHENS RANCH RD
LA VERNE, CA 91750-1146
Phone number: 909-596-7484