Individual provider · Type 1 NPI

Leola Anissa Brock, MA

Mental Health Counselor · Blountstown, FL

NPI number 1235893488 Active

Practice location

20274 Central Ave W
Blountstown, FL 32424-1957

Call (850) 674-8888 Map

Fax (850) 237-1223

Mailing address

1789 White Rd
Bonifay, FL 32425-7001

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

17 other providers at this address

Other mental health counselor providers in Blountstown

See all in Blountstown →

About NPI 1235893488

Leola Anissa Brock, MA's National Provider Identifier is 1235893488, issued on Oct 25, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Blountstown, FL. The record was last updated on Oct 27, 2021.