# CARLEY MICHELLE BROCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093271876
- **Gender:** F
- **Credential:** CADC, CHES

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 2417 | VA | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 174H00000X | Health Educator | 37710 | NULL | — |

## Other

- **Enumeration date:** 02/16/2019
- **Last updated:** 08/06/2024