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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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