NPI 1871766824
Mabel Katherine Brock, LMFTLPCRN
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
Professional Counselor
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.