Brocks, Kirk Douglas

Brocks, Kirk Douglas is an sole proprietor health care provider with primary practice located at 2103 Redwood St Suite 204, Vallejo CA 94590-3608. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Brocks, Kirk Douglas can be contacted via phone (707) 642-4015.

Contact Information

Primary practice address
2103 Redwood St Suite 204 Vallejo CA 94590-3608
Phone: (707) 642-4015
Fax: (707) 642-8319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC32561 California

Profile Details

NPI number 1114088952
LBN Legal business name Brocks, Kirk Douglas
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Mar 20th, 2015 - about 11 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.

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