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MR. HUBERT CHARLES BROCK MA

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1760890321

Individual Registrant:
MR. HUBERT CHARLES BROCK MA
Gender: M
Sole Proprietor

Location and contact information for practice:
11951 HESPERIA RD  HESPERIA, CA 92345-1855 US
Tel: 760-956-2333  Fax: --

Contact information for business:
15388 LINDEN ST  HESPERIA, CA 92345-2825 US
Tel: 626-893-2010  Fax: --

Registration Information:
NPI: 1760890321
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAIMF79973

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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