Individual provider · Type 1 NPI
Marty Dewayne Brock, M.A., CCAADC
Pastoral Counselor · Bainbridge, GA
NPI number
1427485036
Active
Practice location
214 Prosperity Church Rd
Bainbridge, GA 39817-8278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C0115 (GA) |
| Pastoral Counselor Primary | 101YP1600X | 10114352 (GA) |
Pastoral Counselor: Definition to come...
About NPI 1427485036
Marty Dewayne Brock, M.A., CCAADC's National Provider Identifier is 1427485036, issued on Sep 27, 2013. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Bainbridge, GA. The record was last updated on Sep 27, 2013.