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Kenneth J. Brock
Counselor in Olympia, Washington
NPI 1407571177

Kenneth J. Brock is a Counselor based in Olympia, WA. Kenneth J. Brock practices in Olympia, WA. The NPI Number for Kenneth J. Brock is 1407571177 and holds a License No. (Washington).

The current practice location address for Kenneth J. Brock is 1202 Black Lake Blvd Sw Ste B, Olympia, WA and can be reached out via phone at 360-878-8248.

Location: 1202 Black Lake Blvd Sw Ste B, Olympia, WA, 98502-3899
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407571177
Provider Name
Kenneth J. Brock
Credential
Provider Entity Type
Individual
Gender
Male
Address
1202 Black Lake Blvd Sw Ste B, Olympia, WA, 98502-3899
Phone Number
360-878-8248
Fax Number
Provider Enumeration Date
10/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1202 Black Lake Blvd Sw Ste B
City
Olympia
State
Washington
Zip
98502-7208
Phone Number
360-878-8248
Fax Number
person
Provider Business Mailing Address Details
Address
1202 Black Lake Blvd Sw Ste B
City
Olympia
State
Washington
Zip
98502-7208
Phone Number
360-878-8248
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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