person
Mr. Marty Dewayne Brock, MA,CCAADC
Pastoral Counselor in Bainbridge, Georgia
NPI 1427485036

Marty Dewayne Brock is a Pastoral Counselor based in Bainbridge, GA and is specialized in Pastoral. Marty Dewayne Brock practices in Bainbridge, GA and has the professional credentials of MA,CCAADC. The NPI Number for Marty Dewayne Brock is 1427485036 and holds a License No. C0115 (Georgia).

The current practice location address for Marty Dewayne Brock is 214 Prosperity Church Rd, Bainbridge, GA and can be reached out via phone at 229-220-2275.

Location: 214 Prosperity Church Rd, Bainbridge, GA, 39817-8278
person
Provider Profile Details
NPI Number
1427485036
Provider Name
Marty Dewayne Brock
Credential
MA,CCAADC
Provider Entity Type
Individual
Gender
Male
Address
214 Prosperity Church Rd, Bainbridge, GA, 39817-8278
Phone Number
229-220-2275
Fax Number
Provider Enumeration Date
09/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
214 Prosperity Church Rd
City
State
Zip
39817-8278
Phone Number
229-220-2275
Fax Number
person
Provider Business Mailing Address Details
Address
214 Prosperity Church Rd
City
State
Zip
39817-8278
Phone Number
229-220-2275
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10114352 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
C0115 (Georgia)
Definition
Definition to come...
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