Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth J. Brock

Individual provider Counselor · NPI 1407571177

Kenneth J. Brock is a Counselor in Olympia, Washington. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1202 Black Lake Blvd SW Ste B
Olympia, WA 98502-7208
Phone: (360) 878-8248
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1407571177
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 5, 2022
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022
Mailing address4015 Rock Maple Ln Nw Apt 102, Olympia, WA 98502-3899

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