Individual
MR. DAVID BROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
20800 WESTGATE MALL STE 200, FAIRVIEW PARK, OH 44126-1318
(440) 333-4949
Mailing address
20800 WESTGATE MALL STE 200, FAIRVIEW PARK, OH 44126-1318
(440) 333-4949
(440) 333-5044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1400443
OH
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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