Individual
HOLLEY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
408 HEALTHWEST DR, DOTHAN, AL 36303-2054
(334) 702-7222
(334) 702-1944
Mailing address
408 HEALTHWEST DR, DOTHAN, AL 36303-2054
(334) 702-7222
(334) 702-1944
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3129
AL
Other
Enumeration date
05/18/2013
Last updated
05/18/2013
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