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Cecilia Brock, CADC

Counselor, Addiction (Substance Use Disorder) in Corbin, KY. Individual provider (NPI-1).

NPI number1821480187
StatusActive
Last updated in NPPESFeb 24, 2015

Details

NPI
1821480187
Entity type
Individual (NPI-1)
Name
Cecilia Brock
Credential
CADC
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 24, 2015
Last updated
Feb 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)0420KYYes

Practice location

967 Us Highway 25 W
Corbin, KY 40701-4543

Phone 606-526-9348 · Fax 606-526-1541

Mailing address

967 Us Highway 25 W
Corbin, KY 40701-4543

Phone 606-526-9348 · Fax 606-526-1541

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