person
Leola Anissa Brock, MA
Mental Health Counselor in Blountstown, Florida
NPI 1235893488

Leola Anissa Brock is a Mental Health Counselor based in Bonifay, FL and is specialized in Mental Health. Leola Anissa Brock practices in Blountstown, FL and has the professional credentials of MA. The NPI Number for Leola Anissa Brock is 1235893488 and holds a License No. (Florida).

The current practice location address for Leola Anissa Brock is 20274 Central Ave W, Blountstown, FL and can be reached out via phone at 850-674-8888 and via fax at 850-237-1223.

Location: 20274 Central Ave W, Blountstown, FL, 32425-7001
person
Provider Profile Details
NPI Number
1235893488
Provider Name
Leola Anissa Brock
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
20274 Central Ave W, Blountstown, FL, 32425-7001
Phone Number
850-674-8888
Fax Number
850-237-1223
Provider Enumeration Date
10/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20274 Central Ave W
City
State
Zip
32424-1957
Phone Number
850-674-8888
Fax Number
850-237-1223
person
Provider Business Mailing Address Details
Address
20274 Central Ave W
City
State
Zip
32424-1957
Phone Number
850-674-8888
Fax Number
850-237-1223
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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