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Mr. Cary Glen Brock, QMHP
Mental Health Counselor in Irrigon, Oregon
NPI 1689937724

Cary Glen Brock is a Mental Health Counselor based in Irrigon, OR and is specialized in Mental Health. Cary Glen Brock practices in Irrigon, OR and has the professional credentials of QMHP. The NPI Number for Cary Glen Brock is 1689937724 and holds a License No. (Oregon).

The current practice location address for Cary Glen Brock is 155 W Columbia Ln, Irrigon, OR and can be reached out via phone at 541-701-4863.

Location: 155 W Columbia Ln, Irrigon, OR, 97844-6900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689937724
Provider Name
Cary Glen Brock
Credential
QMHP
Provider Entity Type
Individual
Gender
Male
Address
155 W Columbia Ln, Irrigon, OR, 97844-6900
Phone Number
541-701-4863
Fax Number
Provider Enumeration Date
06/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
155 W Columbia Ln
City
Irrigon
State
Oregon
Zip
97844-6900
Phone Number
541-701-4863
Fax Number
person
Provider Business Mailing Address Details
Address
155 W Columbia Ln
City
Irrigon
State
Oregon
Zip
97844-6900
Phone Number
541-701-4863
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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