Individual provider · Type 1 NPI
Alicia Brock, MA, LPC
Professional Counselor · Laramie, WY
NPI number
1104175686
Active
Practice location
1263 N 15th St
Laramie, WY 82072-2343
Mailing address
510 W 29th St
Cheyenne, WY 82001-2760
Other practice locations
- 14221 E 4th Ave, Ste 225, Aurora, CO 80011-8735 · (720) 446-6549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 0012319 (CO) |
| Professional Counselor Primary | 101YP2500X | LPC-1840 (WY) |
Professional Counselor: Definition to come...
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Other professional counselor providers in Laramie
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About NPI 1104175686
Alicia Brock, MA, LPC's National Provider Identifier is 1104175686, issued on Aug 30, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Laramie, WY. The record was last updated on Mar 3, 2020.