Individual
CHRISTINA BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 N BYRON BUTLER PKWY, PERRY, FL 32347-2315
(850) 329-5776
Mailing address
PO BOX 1726, PERRY, FL 32348-7305
(850) 329-5776
(888) 974-6195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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