Brock, Jaclynn

Brock, Jaclynn is an individual health care provider with primary practice located at 501 S Cherry Ave Ste 5 , Marshfield WI 54449-4263. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Brock, Jaclynn can be contacted via phone (715) 486-8302.

Contact Information

Primary practice address
501 S Cherry Ave Ste 5 Marshfield WI 54449-4263
Phone: (715) 486-8302
Fax: (715) 486-9253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1073-124 Wisconsin

Profile Details

NPI number 1871949073
LBN Legal business name Brock, Jaclynn
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2016
Last updated May 6th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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