Edward Brock's National Provider Identifier (NPI) Details
Edward Brock, LMHC, M.Div., D.Min.
NPI: 1205069549
Enumeration Date: 2009-09-03
Last updated: 2009-09-03
Sole Proprietor: YES
Status: active
Postal Address: 23030 97TH AVE W, EDMONDS, WA
Phone: 425-773-4144
Primary Practice Address: 115 N 85TH ST, #202, SEATTLE, WA
Practice's phone: 425-773-4144