Individual provider · Type 1 NPI

Zachary Brock

Counselor · Fort Wayne, IN

NPI number 1962015404 Active

Practice location

333 E Lewis St
Fort Wayne, IN 46802-3139

Call (260) 426-3347 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X39005477A (IN)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1962015404

Zachary Brock's National Provider Identifier is 1962015404, issued on Aug 25, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 29, 2025.