Alicia Brock, MA, LPC

NPI #1104175686 in Laramie, Wyoming

Provider Information

NPI Number: 1104175686
Entity Type: Individual
Name: Alicia Brock, MA, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: MA, LPC
Enumeration Date: Aug 30, 2012
Last Updated: Mar 3, 2020

Practice Location

Address: 1263 N 15TH ST
City: Laramie
State: Wyoming
ZIP Code: 82072-2343
Phone: (307) 745-8915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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