Individual provider · Type 1 NPI
Jeffrey Clarke Brockman, LPCA
Mental Health Counselor · Charlotte, NC
NPI number
1104339944
Active
Practice location
15028 Rothesay Dr
Charlotte, NC 28277-1997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | A13433 (NC) |
Mental Health Counselor: Definition to come...
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About NPI 1104339944
Jeffrey Clarke Brockman, LPCA's National Provider Identifier is 1104339944, issued on Nov 15, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Dec 13, 2018.