Elliot Brock
Counselor, Professional in Hammond, LA. Individual provider (NPI-1).
NPI number1477094969
StatusActive
Last updated in NPPESMar 16, 2017
Details
- NPI
- 1477094969
- Entity type
- Individual (NPI-1)
- Name
- Elliot Brock
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2017
- Last updated
- Mar 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
835 Pride Dr Ste BHammond, LA 70401-9527
Phone 985-543-4730 · Fax 985-543-4752
Mailing address
835 Pride Dr Ste BHammond, LA 70401-9527
Phone 985-543-4730 · Fax 985-543-4752
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