Kayce Brock

NPI #1114453156 in Tahlequah, Oklahoma

Provider Information

NPI Number: 1114453156
Entity Type: Individual
Name: Kayce Brock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 11, 2017
Last Updated: Oct 5, 2020

Practice Location

Address: 711 S MUSKOGEE AVE
City: Tahlequah
State: Oklahoma
ZIP Code: 74464-4717
Phone: (918) 207-0078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor	101Y00000X	Primary

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