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BROOKE LANE NICHOLS
NPI 1033535364
Counselor - Addiction (Substance Use Disorder) in Santa Rosa, CA

Active since March 11, 2014
2403 PROFESSIONAL DR, SANTA ROSA, CA 95403(707) 544-3295(707) 544-9011 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brooke Lane Nichols NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE LANE NICHOLS (NPI 1033535364) is an individual addiction (substance use disorder) provider in Santa Rosa, California and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1033535364
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBROOKE LANE NICHOLS
Location Address2403 PROFESSIONAL DRSanta Rosa, CA 95403-3007
Mailing Address2403 Professional DrSanta Rosa, CA 95403-3007 · (707) 544-3295 · Fax (707) 544-9011
Phone(707) 544-3295
Fax(707) 544-9011
Sole ProprietorYes
Enumeration DateMarch 11, 2014
Last NPPES UpdateMarch 29, 2019
✔ NPI 1033535364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2403 PROFESSIONAL DR, Santa Rosa, CA 95403
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Other Names 1

Former Name (1)Brooke Lane Tyrwhitt

Other Identifiers 1

Medicaid1033535364CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LYNN ALLEN RAS #M0605161317
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR, SUITE 101
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
KAI MARTIN DENIS CADC 1
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
ATHENA KOSTICK
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
RAFAEL J ZARAGOZA
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
DELANEY DAVIDGE
Specialist/Technologist, Other
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
DRUG ABUSE ALTERNATIVES CENTER
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
DRUG ABUSE ALTERNATIVES CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
2403 PROFESSIONAL DR, SUITE 101
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295
MS. JENNIFER KATHLEEN HAGLUND - HILL
Counselor (Addiction (Substance Use Disorder))
2403 PROFESSIONAL DR
SANTA ROSA, CA 95403
Sonoma County (707) 544-3295

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Nichols's NPI number?

The NPI number for Brooke Nichols is 1033535364. It was assigned to this individual provider in the NPPES registry on March 11, 2014. The provider is also known as Brooke Lane Tyrwhitt.

Where is Brooke Nichols located?

Brooke Nichols practices at 2403 Professional Dr, Santa Rosa, CA 95403. The listed phone number is (707) 544-3295.

What is Brooke Nichols's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Brooke Nichols was last updated on March 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.