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Individual
ROBERT TRAVIS BROCK
Active
Individual
ROBERT TRAVIS BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHP, PLADC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1258
NE
101YM0800X
Mental Health Counselor
Primary
4384
NE
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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