DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNIFER GWYNN BROCK, MSW, LCSW

Active Sole Proprietor

Professional Counselor · RICHLANDS, NC

Registration Details

NPI Number
1609848100
Provider Type
Individual
Gender
Female
NPI Issued
Feb 7, 2006 (20.214012176477 yrs)
Last Updated
Nov 30, 2010
License
C004237 (NC)
Sole Proprietor
Yes

Practice Information

Address
103 MILLS ST
RICHLANDS, NC, 285748307
Browse NC providers · Browse ZIP 28574
Phone
9109381114
Fax
9104554038
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in RICHLANDS, NC

Name Credential NPI
MRS. SHIRLEY POWELL LAYTON LPC 1457598179
CHRISTOPHER PEACOCK 1689062200
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.