MS. WANDA CLARICE BROCK LPC NPI 1912112699

NPI Information

NPI: 1912112699
Provider Name: MS. WANDA CLARICE BROCK, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
510 DABNEY DR
HENDERSON, NC
ZIP 27536
Phone: (252) 431-0072
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MS. Wanda Clarice Brock, LPC is a professional counselor in Henderson, NC. MS. Wanda Clarice Brock, LPC NPI is 1912112699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

510 DABNEY DR
HENDERSON, NC
ZIP 27536-946
Phone: (252) 431-0072
Fax: (252) 431-0490

The enumeration date for this NPI number is 5/14/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	4481	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6102736	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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