Most Relevant Information
Provider Data
| NPI Number: | 1003542564 |
| Provider Name: | BRANDY NICOLE BROCK LMFT-A |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 204677 |
Most Important Dates
| Enumeration Date: | 07/27/2022 |
| Last Updated: | 03/19/2024 |
Provider Practice Location
12715 TELGE RD
CYPRESS
TX
774292289
Practice Location Phone/Fax
| Phone: | 7134661360 |
| Fax: |
Provider Mailing Location
12715 TELGE RD
CYPRESS
TX
774292289
Provider Mailing Phone/Fax
| Phone: | 7134661360 |
| Fax: |