Individual provider · Type 1 NPI
Olivia Kathryn White Brock, MS, NCC, LPC, LMHC
Professional Counselor · Burlingame, CA
NPI number
1053992123
Active
Practice location
287 Lorton Ave
Burlingame, CA 94010-4203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 1099274 |
| Mental Health Counselor | 101YM0800X | LH61227686 (WA) |
| Professional Counselor Primary | 101YP2500X | PC013147 (PA) |
Professional Counselor: Definition to come...
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About NPI 1053992123
Olivia Kathryn White Brock, MS, NCC, LPC, LMHC's National Provider Identifier is 1053992123, issued on Apr 19, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Burlingame, CA. The record was last updated on Feb 5, 2022.