Individual
DR. JAMES VAUGHN BROCK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDIV., PSYD., L.S.W.
Contact information
Practice address
DOUGHERTY COUNSELING CENTER, 1919 STATE ST., STE. #2, NEW ALBANY, IN 47150
(812) 944-2532
(812) 944-2549
Mailing address
DOUGHERTY COUNSELING CENTER, 1919 STATE ST., STE. #2, NEW ALBANY, IN 47150
(812) 944-2532
(812) 944-2549
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2009-100
KY
104100000X
Social Worker
Primary
33001554A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11438111
CAQH PROVIDER #
IN
Enumeration date
09/11/2006
Last updated
02/01/2011
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