Individual provider · Type 1 NPI

Caylie Brock, LAC

Mental Health Counselor · Mesa, AZ

NPI number 1730840265 Active

Practice location

2500 S Power Rd,, Bldg 9, Ste 222
Mesa, AZ 85209-6690

Call (425) 999-6853 Map

Mailing address

10030 E Naranja Ave
Mesa, AZ 85209-7929

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-20492 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1730840265

Caylie Brock, LAC's National Provider Identifier is 1730840265, issued on Jan 6, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Jan 6, 2022.