SearchIndiana104100000X

James Brock, MDIV., PSYD., L.S.W

NPI 1750485850 · on the registry since 2006 · sole proprietor

Practice

Address
Dougherty Counseling Center
1919 State St., Ste. #2
New Albany, IN 47150
Phone
(812) 944-2532
Fax
(812) 944-2549

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
103TC0700X
Licence states on file
IN, KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana