Tiara Brock
Counselor in Hatboro, PA. Individual provider (NPI-1).
NPI number1760359731
StatusActive
Last updated in NPPESOct 22, 2025
Details
- NPI
- 1760359731
- Entity type
- Individual (NPI-1)
- Name
- Tiara Brock
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2025
- Certification date
- Oct 22, 2025
- Last updated
- Oct 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | PC019403 | PA | Yes |
Practice location
41 Byberry Rd Ste 4Hatboro, PA 19040-3210
Phone 215-987-4473
Mailing address
332 E Walnut Ln Apt BPhiladelphia, PA 19144-1000
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