Individual provider · Type 1 NPI

Tiffany D. Brock

Professional Counselor · Lebanon, KY

NPI number 1336337112 Active

Practice location

65 Old Springfield Rd
Lebanon, KY 40033-9185

Fax (270) 692-2592

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1052 (KY)

Professional Counselor: Definition to come...

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About NPI 1336337112

Tiffany D. Brock's National Provider Identifier is 1336337112, issued on Oct 5, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lebanon, KY. The record was last updated on Jul 22, 2014.