Individual provider · Type 1 NPI

Seiji Brock, LCPC

Mental Health Counselor · Boise, ID

NPI number 1407322589 Active

Practice location

4552 N Citrus Ave
Boise, ID 83713-9556

Call (208) 402-6974 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC-8176 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1407322589

Seiji Brock, LCPC's National Provider Identifier is 1407322589, issued on Oct 16, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Dec 10, 2024.