Individual
MR. MICHAEL L. BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-S
Contact information
Practice address
12800 HILLCREST RD, SUITE A126, DALLAS, TX 75230
(214) 364-4154
Mailing address
12800 HILLCREST RD, SUITE A126, DALLAS, TX 75230
(214) 364-4154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19521
TX
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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