Leola Anissa Brock, MA
NPI #1235893488 in Blountstown, Florida
Provider Information
- NPI Number
- 1235893488
- Entity Type
- Individual
- Name
- Leola Anissa Brock, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA
- Enumeration Date
- Oct 25, 2021
- Last Updated
- Oct 27, 2021
Practice Location
- Address
- 20274 CENTRAL AVE W
- City
- Blountstown
- State
- Florida
- ZIP Code
- 32424-1957
- Phone
- (850) 674-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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