Individual provider · Type 1 NPI
Lisa G. Brock, MS, LPC, LMFT
Professional Counselor · Fort Smith, AR
NPI number
1629478946
Active
Practice location
2200 S Waldron Rd
Fort Smith, AR 72903-3088
Mailing address
8600 Gatehouse Way
Fort Smith, AR 72916-6022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | M1807017 (AR) |
| Professional Counselor Primary | 101YP2500X | P1808107 (AR) |
Professional Counselor: Definition to come...
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About NPI 1629478946
Lisa G. Brock, MS, LPC, LMFT's National Provider Identifier is 1629478946, issued on Aug 25, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Smith, AR. The record was last updated on May 17, 2024.