person
Michael Brock, LICSW
Mental Health Counselor in Boston, Massachusetts
NPI 1740351121

Michael Brock is a Mental Health Counselor based in Boston, MA and is specialized in Mental Health. Michael Brock practices in Boston, MA and has the professional credentials of LICSW. The NPI Number for Michael Brock is 1740351121 and holds a License No. 107584 (Massachusetts).

The current practice location address for Michael Brock is 7 Haviland St, Boston, MA and can be reached out via phone at 617-267-0900 and via fax at 617-267-3667.

Location: 7 Haviland St, Boston, MA, 02115-2683
person
Provider Profile Details
NPI Number
1740351121
Provider Name
Michael Brock
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
7 Haviland St, Boston, MA, 02115-2683
Phone Number
617-267-0900
Fax Number
617-267-3667
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1303546 05 MA
institution
Provider Business Practice Location Address Details
Address
7 Haviland St
City
State
Zip
02115-2683
Phone Number
617-267-0900
Fax Number
617-267-3667
person
Provider Business Mailing Address Details
Address
7 Haviland St
City
State
Zip
02115-2683
Phone Number
617-267-0900
Fax Number
617-267-3667
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
107584 (Massachusetts)
Definition
Definition to come...
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