Individual
DR. DON G. BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN., LPC
Contact information
Practice address
521 GAULT AVE N, FORT PAYNE, AL 35967-2307
(256) 273-7216
(205) 263-6462
Mailing address
701B GAULT AVE N, FORT PAYNE, AL 35967-2627
(256) 979-1620
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3777
AL
Other
Enumeration date
05/14/2015
Last updated
03/17/2018
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