Individual
BROCK ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
3220 N ACADEMY BLVD, COLORADO SPRINGS, CO 80917-5189
(402) 730-8913
Mailing address
9117 ROYAL MELBOURNE CIR, PEYTON, CO 80831-4050
(402) 730-8913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0019163
CO
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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