Individual provider · Type 1 NPI

Andrea R. Brockman, N.C.C., L.M.H.C.

Mental Health Counselor · St. Petersburg, FL

NPI number 1295275097 Active

Practice location

4024 Central Ave
St. Petersburg, FL 33711-1239

Fax (727) 328-8978

Other practice locations

  • 1344 22nd St S, St. Petersburg, FL 33712-2744 · (727) 821-6701
  • 330 SW Washington St, Peoria, IL 61602-1406 · (309) 676-2400

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH17599 (FL)
Mental Health Counselor 101YM0800X180010802 (IL)
Mental Health Counselor 101YM0800X178011935 (IL)

Mental Health Counselor: Definition to come...

210 other providers at this address

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About NPI 1295275097

Andrea R. Brockman, N.C.C., L.M.H.C.'s National Provider Identifier is 1295275097, issued on Feb 28, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Mar 3, 2020.