MICHAEL BROCKETT

PORTSMOUTH, OH
NPI1912888140
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.192503)
Enumeration Date2025-09-12
Last Update Date2025-09-12
Business Address
-- MICHAEL BROCKETT
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685
Mailing Address
-- MICHAEL BROCKETT
411 COURT ST
PORTSMOUTH, OH 45662-3932
Phone number: 740-354-6685