MR. KEITH DUANE BROCK NPI 1154786812

NPI Information

NPI: 1154786812
Provider Name: MR. KEITH DUANE BROCK
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
7426 S CAMINO VAHCOM
TUCSON, AZ
ZIP 85757
Phone: (520) 879-5693
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MR. Keith Duane Brock is an addiction (substance use disorder) counselor in Tucson, AZ. MR. Keith Duane Brock NPI is 1154786812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7426 S CAMINO VAHCOM
TUCSON, AZ
ZIP 85757
Phone: (520) 879-5693

The enumeration date for this NPI number is 12/23/2015 and was last updated on 12/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-11831	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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