Individual
MELISSA RHYNES BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LCAS
Contact information
Practice address
1310 RAEFORD RD, SUITE 2, FAYETTEVILLE, NC 28305-5085
(910) 364-5799
Mailing address
1313 GENERAL LEE AVE, FAYETTEVILLE, NC 28305-4815
(910) 364-5799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3124
NC
101YP2500X
Professional Counselor
Primary
9392
NC
Other
Enumeration date
01/08/2013
Last updated
11/13/2014
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