Individual
MRS. ANDREA R BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.C.C., L.M.H.C.
Contact information
Practice address
4024 CENTRAL AVE, SAINT PETERSBURG, FL 33711-1239
(727) 327-7656
(727) 328-8978
Mailing address
4024 CENTRAL AVE, SAINT PETERSBURG, FL 33711-1239
(727) 327-7656
(727) 328-8978
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178011935
IL
101YM0800X
Mental Health Counselor
180010802
IL
101YM0800X
Mental Health Counselor
Primary
MH17599
FL
Other
Enumeration date
02/28/2017
Last updated
03/03/2020
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