Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bennett Alexander Brock

Individual provider Counselor · NPI 1326866864

Bennett Alexander Brock is a Counselor in Eugene, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024
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Practice location Address checks out

440 Maxwell Rd
Eugene, OR 97404-2355
Phone: (541) 321-0872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence QMHP-R-3693 (OR)

Record details

NPI number1326866864
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 2, 2024
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing addressPo Box 827, Eugene, OR 97440-0827

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