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Individual

KAITLYN COOPER BROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LPC CANDIDATE

Contact information

Practice address
410 S WILCOX ST, CASTLE ROCK, CO 80104
(970) 310-3406
(888) 965-4615
Mailing address
320 W OLIVE ST, FORT COLLINS, CO 80521-2716
(970) 310-3406
(888) 965-4615

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/03/2014
Last updated
05/14/2019
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