| 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 |