Individual provider · Type 1 NPI
Susan Louise Brocklesby, LMSW
Mental Health Counselor · Mulvane, KS
NPI number
1104417807
Active
Practice location
10950 S 143rd St E
Mulvane, KS 67110-9451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 7572 (KS) |
Mental Health Counselor: Definition to come...
About NPI 1104417807
Susan Louise Brocklesby, LMSW's National Provider Identifier is 1104417807, issued on Jan 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mulvane, KS. The record was last updated on Jan 27, 2021.