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Organization
REBECCA FROCK MA, LPCC
Active
Organization
REBECCA FROCK MA, LPCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA FROCK LPCC (OWNER, CLINICAL COUNSELOR)
(505) 507-9087
Entity
Organization
Contact information
Practice address
320 OSUNA RD NE, SUITE 4H, ALBUQUERQUE, NM 87107-5952
(505) 507-9087
(505) 345-2878
Mailing address
320 OSUNA RD NE, SUITE 4H, ALBUQUERQUE, NM 87107-5952
(505) 507-9087
(505) 345-2878
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1314
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82179816
—
NM
Enumeration date
09/26/2016
Last updated
09/26/2016
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