Individual
TAYLOR BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
10736 W BRILES RD, PEORIA, AZ 85383-5908
(623) 226-6622
Mailing address
10736 W BRILES RD, PEORIA, AZ 85383-5908
(602) 509-9650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-24010
AZ
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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