Provider Demographics
NPI:1952289787
Name:BROOKER, CHELSY E
Entity type:Individual
Prefix:MISS
First Name:CHELSY
Middle Name:E
Last Name:BROOKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 GLEN COVE PKWY
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-7537
Mailing Address - Country:US
Mailing Address - Phone:707-556-8491
Mailing Address - Fax:
Practice Address - Street 1:501 GLEN COVE PKWY
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-7537
Practice Address - Country:US
Practice Address - Phone:707-556-8491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health