Provider Demographics
NPI:1477287902
Name:HIGHTOWER, BROOKE-ALAINA MARINNE
Entity type:Individual
Prefix:
First Name:BROOKE-ALAINA
Middle Name:MARINNE
Last Name:HIGHTOWER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BROOKE-ALAINA
Other - Middle Name:MARINNE
Other - Last Name:HIGHTOWER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT #134096
Mailing Address - Street 1:3207 N ARROYO AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-9114
Mailing Address - Country:US
Mailing Address - Phone:559-797-2107
Mailing Address - Fax:
Practice Address - Street 1:1690 W SHAW AVE STE 201
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3519
Practice Address - Country:US
Practice Address - Phone:855-343-1057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107926106H00000X
CA134096106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist