Damon, David Brock
Damon, David Brock is an individual health care provider with primary practice located at 604 Highway 80 W Ste R , Clinton MS 39056-4108. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Damon, David Brock can be contacted via phone (601) 473-2106.Contact Information
Primary practice address
604 Highway 80 W Ste R
Clinton MS 39056-4108
Phone: (601) 473-2106
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1598334443 |
|---|---|
| LBN Legal business name | Damon, David Brock |
| Credentials | P-LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2021 |
| Last updated | Oct 22nd, 2021 - about 3 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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