Individual provider · Type 1 NPI

Cary Elizabeth Leatherwood Brock, LPC

Mental Health Counselor · Dalton, GA

NPI number 1417410267 Active

Practice location

1414 Dug Gap Rd
Dalton, GA 30720-5007

Mailing address

253 Cash Rd NE
Calhoun, GA 30701-9717

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC010903

Mental Health Counselor: Definition to come...

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About NPI 1417410267

Cary Elizabeth Leatherwood Brock, LPC's National Provider Identifier is 1417410267, issued on Apr 9, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dalton, GA. The record was last updated on Apr 9, 2019.