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

Olivia Ruth Brock

Individual provider Mental Health Counselor · NPI 1043153505

Olivia Ruth Brock is a Mental Health Counselor in Medford, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

103 S Gibson St
Medford, WI 54451-1622
Phone: (715) 748-8112
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8852226 (WI)

Record details

NPI number1043153505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address103 S Gibson St, Medford, WI 54451-1622

Other providers in Medford