Mrs. Andrea R. Brockman N.C.C., L.M.H.C.
Mental Health Counselor in Saint Petersburg, FL(View on Map)
Full Name
Mrs. Andrea R Brockman N.C.C., L.M.H.C.
NPI Number
1295275097
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/28/2017
Specialties
(Taxonomies)Licenses
State
Florida
Illinois
Illinois
License Number
MH17599
180010802
178011935
Contact
Information
Purpose
Mailing
Location
Address
4024 CENTRAL AVE
4024 CENTRAL AVE
City
Saint Petersburg
Saint Petersburg
State
FL
FL
Postal Code
33711-1239
33711-1239
Country
US
US
Telephone Number
(727) 327-7656
(727) 327-7656
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/03/2020
Provider Address
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