Doctor Name: | CATHERINE M. BROCK |
NPI Number: | 1003024738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.M.H.C. |
License Number: | LH 00009706 |
Business Practice Address: | 7981 168th Ave Ne Ste 208 Redmond, WA - 980520911 |
Business Phone Number: | 4258913749 |
Business Fax Number: | |
Mailing Address: | Po Box 132, BOTHELL |
State: | WA |
Postal Code: | 980410132 |
Phone Number: | 4258913749 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH 00009706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |