Individual provider · Type 1 NPI

Keith E. Brockman

Mental Health Counselor · Lexington, KY

NPI number 1548301286 Active

Practice location

3161 Custer Dr
Lexington, KY 40517-4067

Call (859) 253-1686 Map

Fax (859) 254-2743

Mailing address

1351 Newtown Pike
Lexington, KY 40511-1217

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3012 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1548301286

Keith E. Brockman's National Provider Identifier is 1548301286, issued on Feb 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, KY. The record was last updated on Jul 9, 2007.