| Dava L Brock LPC PLLC | |
|
2796 S 2nd St Ste E Cabot AR 72023-7043 | |
| (844) 514-5183 | |
| (501) 286-6046 |
| Full Name | Dava L Brock LPC PLLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2796 S 2nd St Ste E, Cabot, Arkansas |
| Authorized Official Name and Position | Chris Foster (OFFICE MANAGER) |
| Authorized Official Contact | 8445145183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dava L Brock LPC PLLC 2796 S 2nd St Ste E Cabot AR 72023-7043 Ph: (844) 514-5183 | Dava L Brock LPC PLLC 2796 S 2nd St Ste E Cabot AR 72023-7043 Ph: (844) 514-5183 |
| NPI Number | 1245014877 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245014877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
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