Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARTY DEWAYNE BROCK, M.A., CCAADC
Active Sole ProprietorMR. MARTY DEWAYNE BROCK, M.A., CCAADC is a Pastoral Counselor healthcare provider located in BAINBRIDGE, Georgia. NPI 1427485036 is currently active in the NPPES registry. Verify at CMS.
Pastoral Counselor · BAINBRIDGE, GA
Registration Details
- NPI Number
- 1427485036
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2013 (12.910637827476 yrs)
- Last Updated
- Sep 27, 2013
- Licenses
-
C0115 (GA)10114352 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
214 PROSPERITY CHURCH RDBAINBRIDGE, GA, 398178278Browse GA providers · Browse ZIP 39817
- Phone
- 2292202275
- Primary Specialty
-
Pastoral Counselor
101YP1600X
- Additional Specialty
- Pastoral Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.