Individual provider · Type 1 NPI
Brock Thomas Kolby, E.D.D.
Mental Health Counselor · Sonora, CA
NPI number
1114070729
Active
Practice location
2 S Green St
Sonora, CA 95370-4618
Mailing address
PO Box 1306
Murphys, CA 95247-1306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPCC142 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1114070729
Brock Thomas Kolby, E.D.D.'s National Provider Identifier is 1114070729, issued on Jan 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sonora, CA. The record was last updated on May 1, 2015.