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MR. HUBERT CHARLES BROCK MA
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1760890321
Individual Registrant:MR. HUBERT CHARLES BROCK MA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
11951 HESPERIA RD HESPERIA, CA 92345-1855 US
Tel: 760-956-2333 Fax: --
Tel: 760-956-2333 Fax: --
Contact information for business:
15388 LINDEN ST HESPERIA, CA 92345-2825 US
Tel: 626-893-2010 Fax: --
Tel: 626-893-2010 Fax: --
Registration Information:
NPI: 1760890321
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | IMF79973 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
