Adam Brock is a Peer Specialist based in Ashland, KY. Adam Brock practices in Grayson, KY. The NPI Number for Adam Brock is 1982252425 and holds a License No. (Kentucky).
The current practice location address for Adam Brock is 840 Interstate Dr, Grayson, KY and can be reached out via phone at 866-233-1955.
Location: 840 Interstate Dr, Grayson, KY, 41105-0790
Provider Profile Details
NPI Number
1982252425
Provider Name
Adam Brock
Credential
Provider Entity Type
Individual
Gender
Male
Address
840 Interstate Dr, Grayson, KY, 41105-0790
Phone Number
866-233-1955
Fax Number
Provider Enumeration Date
08/28/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
840 Interstate Dr
City
State
Zip
41143-1768
Phone Number
866-233-1955
Fax Number
Provider Business Mailing Address Details
Address
840 Interstate Dr
City
State
Zip
41143-1768
Phone Number
866-233-1955
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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