KENNETH J. BROCK
NPI 1407571177
Counselor in Olympia, WA
- Individual
- Male
- Counselor
About KENNETH BROCK
This page provides the complete NPI Profile along with additional information for Kenneth Brock, a provider established in Olympia, Washington with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1407571177 assigned on October 2022. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1407571177 Verify this NPI
- Provider Name
- KENNETH J. BROCK
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1202 BLACK LAKE BLVD SW STE B OLYMPIA, WA 98502
- Location Phone
- (360) 878-8248
- Mailing Address
- 4015 ROCK MAPLE LN NW APT 102 OLYMPIA, WA 98502
- Mailing Phone
- (253) 320-6695
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-05-2022
- Last Update Date
- 10-05-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
OLYMPIA, WA 98502
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407571177, enumerated as an "individual" on October 05, 2022.
The provider is located at 1202 BLACK LAKE BLVD SW STE B OLYMPIA, WA 98502 and the phone number is (360) 878-8248.
Counselor with taxonomy code 101Y00000X.
