Individual
DR. JEFFREY CLARKE BROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
15028 ROTHESAY DR, CHARLOTTE, NC 28277-1997
(704) 365-7777
Mailing address
15028 ROTHESAY DR, CHARLOTTE, NC 28277-1997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13433
NC
Other
Enumeration date
11/15/2017
Last updated
12/13/2018
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