NPI | 1124714811 |
---|---|
Former Legal Business Name | JEREMY LEE BROWNSTEIN |
Entity Type | Organization |
Authorized Contact | JEREMY BROWNSTEIN Owner 559-428-3176 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2023-04-14 |
Last Update Date | 2023-04-14 |