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Mr. Brock Adam Carlile, MCP
Counselor in Ponca City, Oklahoma
NPI 1649570128

Brock Adam Carlile is a Counselor based in Ponca City, OK. Brock Adam Carlile practices in Ponca City, OK and has the professional credentials of MCP. The NPI Number for Brock Adam Carlile is 1649570128 and holds a License No. 4396 (Oklahoma).

The current practice location address for Brock Adam Carlile is 1920 Mary St, Ponca City, OK and can be reached out via phone at 580-382-1645. You can also correspond with Brock Adam Carlile through the mailing address at 1920 MARY ST, PONCA CITY, OK - 74601-2027 (mailing address contact number: 580-382-1645).

Location: 1920 Mary St, Ponca City, OK, 74601-2027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649570128
Provider Name
Brock Adam Carlile
Credential
MCP
Provider Entity Type
Individual
Gender
Male
Address
1920 Mary St, Ponca City, OK, 74601-2027
Phone Number
580-382-1645
Fax Number
Provider Enumeration Date
10/29/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1920 Mary St
City
Ponca City
State
Oklahoma
Zip
74601-2027
Phone Number
580-382-1645
Fax Number
person
Provider Business Mailing Address Details
Address
1920 Mary St
City
Ponca City
State
Oklahoma
Zip
74601-2027
Phone Number
580-382-1645
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
4396 (Oklahoma)
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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