Individual provider · Type 1 NPI

Nicole Brock, LPC

Professional Counselor · Fayetteville, AR

NPI number 1669989158 Active

Practice location

60 W Sunbridge Dr
Fayetteville, AR 72703-1822

Call (479) 695-1240 Map

Fax (479) 750-4843

Mailing address

2400 S 48th St
Springdale, AR 72762-6683

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1669989158

Nicole Brock, LPC's National Provider Identifier is 1669989158, issued on Jan 5, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, AR. The record was last updated on Feb 9, 2023.