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Zachary Brock
Counselor in Fort Wayne, Indiana
NPI 1962015404

Zachary Brock is a Counselor based in Warsaw, IN. Zachary Brock practices in Fort Wayne, IN. The NPI Number for Zachary Brock is 1962015404 and holds a License No. (Indiana).

The current practice location address for Zachary Brock is 2100 Goshen Rd, Fort Wayne, IN and can be reached out via phone at 260-471-3500. You can also correspond with Zachary Brock through the mailing address at 2621 E JEFFERSON ST, WARSAW, IN - 46580-3880 (mailing address contact number: ).

Location: 2100 Goshen Rd, Fort Wayne, IN, 46580-3880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962015404
Provider Name
Zachary Brock
Credential
Provider Entity Type
Individual
Gender
Male
Address
2100 Goshen Rd, Fort Wayne, IN, 46580-3880
Phone Number
260-471-3500
Fax Number
Provider Enumeration Date
08/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2100 Goshen Rd
City
Fort Wayne
State
Indiana
Zip
46808-1493
Phone Number
260-471-3500
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Goshen Rd
City
Fort Wayne
State
Indiana
Zip
46808-1493
Phone Number
260-471-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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