Joan M Brock, LPC Valid NPI
Individual provider · Professional Counselor · Pryor, OK
- NPI
- 1508086711
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 2508 (OK)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2007-04-27
- Last updated
- 2011-08-17
Practice location
231 E Graham Ave
Pryor, OK 74361-2436
(918) 825-1405