Organization Name: | JENNIFER A. BROWN, LPC NCC LLC |
NPI Number: | 1245628775 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER A BROWN (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 13380 Route 30 Suite 5b, Box 6 North Huntingdon |
State: | PA US |
Postal Code: | 156421125 |
Phone Number: | 7242440320 |
Fax Number: | 7245157238 |
NPI Enumeration Date: | 01/06/2015 |
NPI Last Update Date: | 01/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC000851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |