Individual
ALAN F BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 N OREM BLVD, OREM, UT 84057-6601
(801) 609-2448
Mailing address
822 S 1040 W, PAYSON, UT 84651-4614
(801) 609-2448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14209911-6009
UT
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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