Individual
BROCK THOMAS KOLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
E.D.D.
Contact information
Practice address
2 S GREEN ST, SONORA, CA 95370-4618
(209) 533-6265
Mailing address
PO BOX 1306, MURPHYS, CA 95247-1306
(209) 728-9386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC142
CA
Other
Enumeration date
01/18/2007
Last updated
05/01/2015
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