Whalio Doctors

NPI 1871766824

Mabel Katherine Brock, LMFTLPCRN

Practitioner Marriage & Family Therapist Bossier City, LA

Practice location

Address
2285 Benton Rd Suite D-202, Bossier City, LA 71111-7933
Phone
(318) 347-0486
Fax
(318) 965-0904

Registered specialties (2)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 392 (LA)
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 2677 (LA)

Registry record

NPI
1871766824
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Apr 2008
Record last updated
4 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.