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Ellen Jonel Brock-Hinson, TCM, QP

Counselor in Boone, NC. Individual provider (NPI-1).

NPI number1891069324
StatusActive
Last updated in NPPESMar 1, 2012

Details

NPI
1891069324
Entity type
Individual (NPI-1)
Name
Ellen Jonel Brock-Hinson
Credential
TCM, QP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 1, 2012
Last updated
Mar 1, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

132 Poplar Grove Connector # B
Boone, NC 28607-5915

Phone 828-264-5759

Mailing address

284 Executive Park Dr
Suite 100
Concord, NC 28025-1894

Phone 704-939-1100 · Fax 704-939-1173

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