TERRELL JERMAINE BROWN

FORT WAYNE, IN
NPI1295577815
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  87001772A)
Enumeration Date2024-06-12
Last Update Date2024-08-06
Business Address
TERRELL JERMAINE BROWN MS, MA, LCAC
1690 BROADWAY BLD 19 SUITE 10
FORT WAYNE, IN 46802
Phone number: 260-409-8432
Mailing Address
TERRELL JERMAINE BROWN MS, MA, LCAC
1690 BROADWAY BLD 19 SUITE 10
FORT WAYNE, IN 46802
Phone number: 260-409-8432