Individual
MR. JEFFERY JOSEPH BROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A
Contact information
Practice address
1044 GILBERT ST, FLINT, MI 48532-3527
(810) 422-9406
(810) 410-4678
Mailing address
1044 GILBERT ST, FLINT, MI 48532-3527
(810) 422-9406
(810) 410-4678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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