Individual provider · Type 1 NPI
Jennifer Gwynn Brock, MSW, LCSW
Professional Counselor · Richlands, NC
NPI number
1609848100
Active
Practice location
103 Mills St
Richlands, NC 28574-8307
Fax (910) 455-4038
Mailing address
657 Ben Williams Rd
Jacksonville, NC 28540-9202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C004237 (NC) |
Professional Counselor: Definition to come...
Other professional counselor providers in Richlands
About NPI 1609848100
Jennifer Gwynn Brock, MSW, LCSW's National Provider Identifier is 1609848100, issued on Feb 7, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Richlands, NC. The record was last updated on Nov 30, 2010.