Individual provider · Type 1 NPI
Brock B. Alder, LCSW
Addiction (Substance Use Disorder) Counselor · Logan, UT
NPI number
1689753774
Active
Practice location
655 E 1300 N
Logan, UT 84341-2570
Other practice locations
- 1403 E 400 S, Preston, ID 83263-5422 · (435) 752-5302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-875 (ID) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 139698-3501 (UT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Angie Nye White, CMHCAddiction (Substance Use Disorder) Counselor Logan, UT NPI 1871732768
About NPI 1689753774
Brock B. Alder, LCSW's National Provider Identifier is 1689753774, issued on Nov 2, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Logan, UT. The record was last updated on Mar 7, 2023.