Individual
STEPHANIE ANN BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
2645 N LAUREL RD, LONDON, KY 40741-9075
(513) 834-7063
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
167341
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100482800
—
KY
Enumeration date
04/26/2007
Last updated
07/28/2025
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