Individual provider · Type 1 NPI
Robert Travis Brock, MS, LMHP, PLADC, LPC
Mental Health Counselor · Omaha, NE
NPI number
1023414331
Active
Practice location
1709 Jackson St
Omaha, NE 68102-2513
Fax (402) 599-2565
Mailing address
6249 Ponderosa Cir
Omaha, NE 68137-4277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | P-1258 (NE) |
| Mental Health Counselor Primary | 101YM0800X | 4384 (NE) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1023414331
Robert Travis Brock, MS, LMHP, PLADC, LPC's National Provider Identifier is 1023414331, issued on Nov 13, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Nov 13, 2014.