Brock, Amber Gail
Brock, Amber Gail is an individual health care provider with primary practice located at 212 Conroe Dr , Conroe TX 77301-1950. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Brock, Amber Gail can be contacted via phone (936) 760-1880.Contact Information
Primary practice address
212 Conroe Dr
Conroe TX 77301-1950
Phone: (936) 760-1880
Fax: (936) 760-9101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 66483 | Texas |
Profile Details
| NPI number | 1285973511 |
|---|---|
| LBN Legal business name | Brock, Amber Gail |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2013 |
| Last updated | Feb 6th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285973511 | NPPES |
| Other | 66483 | LPC |
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