Individual provider · Type 1 NPI

Portia Brock, LPC

Mental Health Counselor · Chicago, IL

NPI number 1316653199 Active

Practice location

566 W Lake St Ste 200
Chicago, IL 60661-1413

Call (312) 371-5680 Map

Mailing address

3152 W 84th St
Chicago, IL 60652-3425

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178018863 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1316653199

Portia Brock, LPC's National Provider Identifier is 1316653199, issued on Jan 25, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jan 25, 2023.