Individual
KEITH L BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
2728 GUILFORD AVE, BALTIMORE, MD 21218-4415
(443) 831-3000
Mailing address
2728 GUILFORD AVE, BALTIMORE, MD 21218-4415
(443) 831-3000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP15861
MD
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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