Individual provider · Type 1 NPI
Leslie Richard Brockman, LCSW, LPC, LMFT
Addiction (Substance Use Disorder) Counselor · Fort Worth, TX
NPI number
1255404257
Active
Practice location
5801 Curzon Ave, Suite 2B
Fort Worth, TX 76107-5800
Fax (817) 377-0836
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 3152 (TX) |
| Professional Counselor | 101YP2500X | 8753 (TX) |
| Clinical Social Worker | 1041C0700X | 10754 (TX) |
| Marriage & Family Therapist | 106H00000X | 614 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1255404257
Leslie Richard Brockman, LCSW, LPC, LMFT's National Provider Identifier is 1255404257, issued on Nov 16, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 11, 2025.