MRS. Jacqueline Marie Brock, LPC

NPI #1386019123 in Belton, Texas

Provider Information

NPI Number: 1386019123
Entity Type: Individual
Name: MRS. Jacqueline Marie Brock, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Dec 4, 2015
Last Updated: Dec 14, 2023

Practice Location

Address: 14 BENDING BR
City: Belton
State: Texas
ZIP Code: 76513-7507
Phone: (254) 833-0781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Counselor - Professional — Professional	101YP2500X	Primary

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