Individual
RICHARD B BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8932 JEWELLA AVE STE A, SHREVEPORT, LA 71118-2117
(318) 540-3223
Mailing address
2612 BUTLER HILL RD, BENTON, LA 71006-8645
(318) 540-3223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3831
LA
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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