Individual
ADAM BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 INTERSTATE DR, GRAYSON, KY 41143-1768
(866) 233-1955
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
05/13/2026
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