Individual
MRS. MEISSA DAVIS BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
1041 WASHINGTON ST, RALEIGH, NC 27605-1259
(888) 305-4321
Mailing address
101 MCKAYLA LN, GOLDSBORO, NC 27530-9277
(919) 735-6771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
921
NC
Other
Enumeration date
02/22/2010
Last updated
05/19/2011
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