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Individual

DR. INGA A. BROCKINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCADC/ PASTORAL CARE

Contact information

Practice address
114R RADCLIFFE ST, BRISTOL, PA 19007-5012
(215) 376-4158
Mailing address
114R RADCLIFFE ST, BRISTOL, PA 19007-5012
(215) 376-4158

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YP1600X
Pastoral Counselor

Other

Enumeration date
05/24/2007
Last updated
11/25/2019
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