Individual
RITA ELAINE BROCKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED, LMHC
Contact information
Practice address
2419 E 3RD ST, MISHAWAKA, IN 46544-3327
(574) 309-5229
Mailing address
2419 E 3RD ST, MISHAWAKA, IN 46544-3327
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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