Adam Brock
Peer Specialist in Grayson, KY. Individual provider (NPI-1).
NPI number1982252425
StatusActive
Last updated in NPPESMay 13, 2026
Details
- NPI
- 1982252425
- Entity type
- Individual (NPI-1)
- Name
- Adam Brock
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2019
- Certification date
- May 13, 2026
- Last updated
- May 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | OH |
Practice location
840 Interstate DrGrayson, KY 41143-1768
Phone 866-233-1955
Mailing address
Po Box 790Ashland, KY 41105-0790
Other practice locations
125 S Main Cross St
Louisa, KY 41230-1065
Louisa, KY 41230-1065
Phone 606-638-0938
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All 10 Peer Specialist providers in Grayson · All 317 providers in Grayson
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