Individual
JULIET BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
341 EDGEWOOD TERRACE DR, JACKSON, MS 39206-6217
(601) 738-5820
Mailing address
1905 MISSION 66, VICKSBURG, MS 39180-3711
(601) 738-5820
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3285
MS
Other
Enumeration date
08/15/2024
Last updated
12/02/2025
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