NPI | 1396228516 |
---|---|
Former Name | JENNY LYNN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017586) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008305) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001918) | |
Enumeration Date | 2018-09-13 |
Last Update Date | 2023-12-20 |