Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARY GLEN BROCK, QMHP
Active Sole ProprietorMental Health Counselor · IRRIGON, OR
Registration Details
- NPI Number
- 1689937724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2012 (13.858535084156 yrs)
- Last Updated
- Jun 22, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
155 W COLUMBIA LNIRRIGON, OR, 978446900Browse OR providers · Browse ZIP 97844
- Phone
- 5417014863
- Primary Specialty
-
Mental Health Counselor
101YM0800X
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.