JACOB BROWN

PHOENIX, AZ
NPI1356074884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-21117)
Enumeration Date2022-07-01
Last Update Date2022-07-01
Business Address
JACOB BROWN LAC
2102 W BETHANY HOME RD
PHOENIX, AZ 85015-1935
Phone number: 602-774-4745
Mailing Address
JACOB BROWN LAC
4910 E FAIRFIELD ST
MESA, AZ 85205-5346
Phone number: 480-329-4621