Individual
MR. ALEXANDER PATRICK BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1515 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 951-6280
(503) 468-3130
Mailing address
1515 LIBERTY ST SE, SALEM, OR 97302-4345
(503) 951-6280
(503) 468-3130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
C5601
OR
Other
Enumeration date
10/18/2017
Last updated
02/27/2020
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