Doctor Name: | JEWELL BROWN |
NPI Number: | 1083045926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC2310 |
Business Practice Address: | 401 Whitney Ave Ste. 306 Gretna, LA - 700562558 |
Business Phone Number: | 5046550285 |
Business Fax Number: | 5043097845 |
Mailing Address: | Po Box 6744, NEW ORLEANS |
State: | LA |
Postal Code: | 701746744 |
Phone Number: | 5043097844 |
Fax Number: | 5043097845 |
NPI Enumeration Date: | 12/03/2013 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC2310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |