Mary K. Brockie is a Counselor in Kotzebue, Alaska. Mary K. Brockie practices all healthcare services and medical treatments related to Counselor. The NPI Number for Mary K. Brockie is 1720101579. The last update date is 2007-07-08.
Mary K. Brockie's current location address is 436 5th St.ted Stevens Way, Kotzebue, Alaska. You can contact this provider via phone number 9074427400 and fax number 9074427306. The mailing address for Mary K. Brockie is 436 5th St.ted Stevens Way, Kotzebue, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary K. Brockie |
|---|---|
| Address | 436 5th St.ted Stevens Way, Kotzebue, Alaska |
| Phone Number | 9074427400 |
| Fax Number | 9074427306 |
| Sole Proprietor | Y |
| Credentials | MA, LPC |
NPI Number Detail
| NPI Number | 1720101579 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 436 5th St.ted Stevens Way |
|---|---|
| City | Kotzebue |
| State | Alaska (AK) |
| Post Code | 99752 |
| Phone Number | 9074427400 |
| Fax Number | 9074427306 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 357 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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What is the unique 10-digit identifier code assigned to Mary K. Brockie by the Centers for Medicare & Medicaid Services?
The Mary K. Brockie has been issued the NPI (National Provider Identifier) 1720101579 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mary K. Brockie is physically located?
The Mary K. Brockie is physically situated at the following address: 436 5Th St.Ted Stevens Way, Kotzebue, AK, 99752.
What is the area of specialization for Mary K. Brockie, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary K. Brockie is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720101579 to Mary K. Brockie?
The Centers for Medicare & Medicaid Services originally issued the 1720101579 to Mary K. Brockie on 2007-04-09.
As of what date were the details related to Mary K. Brockie most recently updated or revised?
The information pertaining to Mary K. Brockie, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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