IndividualActive
Alan Brock
NPI 1164216776 · Mental Health Counselor · Orem, UT
Provider details
- NPI number
- 1164216776
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14209911-6009 (UT)
Mailing address
822 S 1040 W
Payson, UT 84651-4614
Registry dates
- Enumerated
- 2025-04-08
- Last updated
- 2025-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.