Individual
EVAN RAY BROWN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14574 US HIGHWAY 23, WAVERLY, OH 45690-9373
(740) 912-9126
Mailing address
26 LAKEVIEW DR, WAVERLY, OH 45690-9616
(740) 978-3492
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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