Individual
SIMONE ELIZABETH BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
271 AUSTIN LOOP, EL PASO, AR 72045-9613
(972) 342-1696
Mailing address
271 AUSTIN LOOP, EL PASO, AR 72045-9613
(972) 342-1696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2501003
AR
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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