Individual
DR. JASON SOUTHALL ORROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC, NCC
Contact information
Practice address
1030 S BRUNDIDGE ST, TROY, AL 36081-3121
(434) 987-3669
Mailing address
PO BOX 1262, TROY, AL 36081-1262
(434) 987-3669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3143
AL
101YP2500X
Professional Counselor
3143
AL
Other
Enumeration date
06/22/2013
Last updated
06/22/2013
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