Individual provider · Type 1 NPI

Wanda Clarice Brock, LPC

Professional Counselor · Henderson, NC

NPI number 1912112699 Active

Practice location

510 Dabney Dr
Henderson, NC 27536-3946

Call (252) 431-0072 Map

Fax (252) 431-0490

Mailing address

3129 Marengo Rd
La Crosse, VA 23950-2420

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4481 (NC)

Professional Counselor: Definition to come...

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About NPI 1912112699

Wanda Clarice Brock, LPC's National Provider Identifier is 1912112699, issued on May 14, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Henderson, NC. The record was last updated on Jul 8, 2007.