Individual
AUTUMN MICHELLE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
590 RIO LINDO AVE, CHICO, CA 95926-1817
(530) 345-3491
Mailing address
1632 LAUREL ST, CHICO, CA 95928-6655
(530) 852-1814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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