Doctor Name: | MR. DEON JARMALL BROWN |
NPI Number: | 1295936490 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC,LCADC |
License Number: | LCA4221 |
Business Practice Address: | 16 Greenmeadow Dr Ste G106 Lutherville Timonium, MD - 210933200 |
Business Phone Number: | 4105619584 |
Business Fax Number: | |
Mailing Address: | 772 Maple Crest Dr, BALTIMORE |
State: | MD |
Postal Code: | 212201718 |
Phone Number: | 4437565291 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LCA4221 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |