person
Mr. Keith Duane Brock
Addiction (Substance Use Disorder) Counselor in Tucson, Arizona
NPI 1154786812

Keith Duane Brock is an Addiction (Substance Use Disorder) Counselor based in Tucson, AZ and is specialized in Addiction (Substance Use Disorder). Keith Duane Brock practices in Tucson, AZ. The NPI Number for Keith Duane Brock is 1154786812 and holds a License No. LISAC-11831 (Arizona).

The current practice location address for Keith Duane Brock is 7426 S Camino Vahcom, Tucson, AZ and can be reached out via phone at 520-879-5693.

Location: 7426 S Camino Vahcom, Tucson, AZ, 85713
person
Provider Profile Details
NPI Number
1154786812
Provider Name
Keith Duane Brock
Credential
Provider Entity Type
Individual
Gender
Male
Address
7426 S Camino Vahcom, Tucson, AZ, 85713
Phone Number
520-879-5693
Fax Number
Provider Enumeration Date
12/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7426 S Camino Vahcom
City
State
Zip
85757
Phone Number
520-879-5693
Fax Number
person
Provider Business Mailing Address Details
Address
7426 S Camino Vahcom
City
State
Zip
85757
Phone Number
520-879-5693
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-11831 (Arizona)
Definition
Definition to come...
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