person
Ms. Wanda Clarice Brock, LPC
Professional Counselor in Henderson, North Carolina
NPI 1912112699

Wanda Clarice Brock is a Professional Counselor based in La Crosse, NC and is specialized in Professional. Wanda Clarice Brock practices in Henderson, NC and has the professional credentials of LPC. The NPI Number for Wanda Clarice Brock is 1912112699 and holds a License No. 4481 (North Carolina).

The current practice location address for Wanda Clarice Brock is 510 Dabney Dr, Henderson, NC and can be reached out via phone at 252-431-0072 and via fax at 252-431-0490. You can also correspond with Wanda Clarice Brock through the mailing address at 3129 MARENGO RD, LA CROSSE, VA - 23950-2420 (mailing address contact number: 434-636-2792).

Location: 510 Dabney Dr, Henderson, NC, 23950-2420
person
Provider Profile Details
NPI Number
1912112699
Provider Name
Wanda Clarice Brock
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
510 Dabney Dr, Henderson, NC, 23950-2420
Phone Number
252-431-0072
Fax Number
252-431-0490
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6102736 05 NC
institution
Provider Business Practice Location Address Details
Address
510 Dabney Dr
City
State
Zip
27536-3946
Phone Number
252-431-0072
Fax Number
252-431-0490
person
Provider Business Mailing Address Details
Address
510 Dabney Dr
City
State
Zip
27536-3946
Phone Number
252-431-0072
Fax Number
252-431-0490
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4481 (North Carolina)
Definition
Definition to come...
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