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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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