IndividualActive
Alicia Brock, MA, LPC
NPI 1104175686 · Professional Counselor · Laramie, WY
Provider details
- NPI number
- 1104175686
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- No
- License
- 0012319 (CO)
Mailing address
510 W 29th St
Cheyenne, WY 82001-2760
Registry dates
- Enumerated
- 2012-08-30
- Last updated
- 2020-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.