Individual provider · Type 1 NPI

Charlene E. Broock, MSW, LICSW

Professional Counselor · Rio Rancho, NM

NPI number 1790731800 Active

Practice location

1005 21st St SE, Ste B
Rio Rancho, NM 87124-4030

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC-08797 (NM)

Professional Counselor: Definition to come...

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About NPI 1790731800

Charlene E. Broock, MSW, LICSW's National Provider Identifier is 1790731800, issued on May 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rio Rancho, NM. The record was last updated on Jul 13, 2026.