Individual
CARLEY MICHELLE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, CHES
Contact information
Practice address
1632 1ST AVE # 20163, NEW YORK, NY 10028-4305
(850) 832-1299
Mailing address
1632 1ST AVE # 20163, NEW YORK, NY 10028-4305
(562) 357-6784
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2417
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
174H00000X
Health Educator
37710
—
Other
Enumeration date
02/16/2019
Last updated
08/06/2024
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