White Brock, Olivia Kathryn

White Brock, Olivia Kathryn is an individual health care provider with primary practice located at 287 Lorton Ave , Burlingame CA 94010-4203. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. White Brock, Olivia Kathryn can be contacted via phone (877) 505-7147.

Contact Information

Primary practice address
287 Lorton Ave Burlingame CA 94010-4203
Phone: (877) 505-7147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1099274
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH61227686 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X PC013147 Pennsylvania

Profile Details

NPI number 1053992123
LBN Legal business name White Brock, Olivia Kathryn
Credentials MS, NCC, LPC, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2021
Last updated Feb 5th, 2022 - about 2 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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