person
Alicia Brock, MA,LPC
Professional Counselor in Laramie, Wyoming
NPI 1104175686

Alicia Brock is a Professional Counselor based in Cheyenne, WY and is specialized in Professional. Alicia Brock practices in Laramie, WY and has the professional credentials of MA,LPC. The NPI Number for Alicia Brock is 1104175686 and holds a License No. 0012319 (Wyoming).

The current practice location address for Alicia Brock is 1263 N 15Th St, Laramie, WY and can be reached out via phone at 307-745-8915.

Location: 1263 N 15Th St, Laramie, WY, 82001-2760
person
Provider Profile Details
NPI Number
1104175686
Provider Name
Alicia Brock
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
1263 N 15Th St, Laramie, WY, 82001-2760
Phone Number
307-745-8915
Fax Number
Provider Enumeration Date
08/30/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1263 N 15Th St
City
State
Zip
82072-2343
Phone Number
307-745-8915
Fax Number
person
Provider Business Mailing Address Details
Address
1263 N 15Th St
City
State
Zip
82072-2343
Phone Number
307-745-8915
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-1840 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0012319 (Colorado)
Definition
Definition to come...
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