Individual provider · Type 1 NPI

Kenneth J. Brock

Counselor · Olympia, WA

NPI number 1407571177 Active

Practice location

1202 Black Lake Blvd SW Ste B
Olympia, WA 98502-7208

Mailing address

4015 Rock Maple Ln NW Apt 102
Olympia, WA 98502-3899

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1407571177

Kenneth J. Brock's National Provider Identifier is 1407571177, issued on Oct 5, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Olympia, WA. The record was last updated on Oct 5, 2022.