Organization
LISA BROCK COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA BROCK LPC LMFT (THERAPIST)
(479) 461-7789
Entity
Organization
Contact information
Practice address
4943 OLD GREENWOOD RD STE 9, FORT SMITH, AR 72903-6923
(479) 461-7789
Mailing address
8600 GATEHOUSE WAY, FORT SMITH, AR 72916-6022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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