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Brenda Brock
Mental Health Counselor in Raymond, Washington
NPI 1396215562

Brenda Brock is a Mental Health Counselor based in Raymond, WA and is specialized in Mental Health. Brenda Brock practices in Raymond, WA. The NPI Number for Brenda Brock is 1396215562 and holds a License No. CG60898113 (Washington).

The current practice location address for Brenda Brock is 300 Ocean Ave, Raymond, WA and can be reached out via phone at 360-942-2303.

Location: 300 Ocean Ave, Raymond, WA, 98577-3016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396215562
Provider Name
Brenda Brock
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Ocean Ave, Raymond, WA, 98577-3016
Phone Number
360-942-2303
Fax Number
Provider Enumeration Date
11/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Ocean Ave
City
Raymond
State
Washington
Zip
98577-3016
Phone Number
360-942-2303
Fax Number
person
Provider Business Mailing Address Details
Address
300 Ocean Ave
City
Raymond
State
Washington
Zip
98577-3016
Phone Number
360-942-2303
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG60898113 (Washington)
Definition
Definition to come...
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