Individual
AMBER GAIL BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
212 CONROE DR, CONROE, TX 77301-1950
(936) 760-1880
(936) 760-9101
Mailing address
212 CONROE DR, CONROE, TX 77301-1950
(936) 760-1880
(936) 760-9101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
66483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66483
LPC
—
Enumeration date
02/06/2013
Last updated
02/06/2013
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