Individual
LESLIE RICHARD BROCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LPC, LMFT
Contact information
Practice address
5801 CURZON AVE, SUITE 2B, FORT WORTH, TX 76107-5800
(817) 377-0808
(817) 377-0836
Mailing address
5801 CURZON AVE, SUITE 2B, FORT WORTH, TX 76107-5800
(817) 377-0808
(817) 377-0836
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3152
TX
101YP2500X
Professional Counselor
8753
TX
1041C0700X
Clinical Social Worker
10754
TX
106H00000X
Marriage & Family Therapist
614
TX
Other
Enumeration date
11/16/2006
Last updated
09/11/2025
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