Individual provider · Type 1 NPI
Blaine Paul Brockman
Professional Counselor · West Jefferson, OH
NPI number
1649937681
Active
Practice location
765 Lakeview Dr
West Jefferson, OH 43162-9587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1649937681
Blaine Paul Brockman's National Provider Identifier is 1649937681, issued on Nov 24, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Jefferson, OH. The record was last updated on Nov 24, 2021.