person
Tiffany D Brock
Professional Counselor in Lebanon, Kentucky
NPI 1336337112

Tiffany D Brock is a Professional Counselor based in Lebanon, KY and is specialized in Professional. Tiffany D Brock practices in Lebanon, KY. The NPI Number for Tiffany D Brock is 1336337112 and holds a License No. 1052 (Kentucky).

The current practice location address for Tiffany D Brock is 65 Old Springfield Rd, Lebanon, KY and can be reached out via phone at 270-692-2509 and via fax at 270-692-2592.

Location: 65 Old Springfield Rd, Lebanon, KY, 40033-9185
person
Provider Profile Details
NPI Number
1336337112
Provider Name
Tiffany D Brock
Credential
Provider Entity Type
Individual
Gender
Female
Address
65 Old Springfield Rd, Lebanon, KY, 40033-9185
Phone Number
270-692-2509
Fax Number
270-692-2592
Provider Enumeration Date
10/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
65 Old Springfield Rd
City
State
Zip
40033-9185
Phone Number
270-692-2509
Fax Number
270-692-2592
person
Provider Business Mailing Address Details
Address
65 Old Springfield Rd
City
State
Zip
40033-9185
Phone Number
270-692-2509
Fax Number
270-692-2592
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1052 (Kentucky)
Definition
Definition to come...
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