Individual
CARYN ANN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RAS
Contact information
Practice address
127 GRENADINE WAY, HERCULES, CA 94547-2041
(510) 799-7570
(510) 799-1866
Mailing address
1901 CHURCH LN, SAN PABLO, CA 94806-3707
(510) 236-3139
(510) 236-3200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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