Individual
CLARENE JESSIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A , LISAC
Contact information
Practice address
3322 E WILLETTA ST, PHOENIX, AZ 85008-4818
(602) 273-3933
Mailing address
3322 E WILLETTA ST, PHOENIX, AZ 85008-4818
(602) 273-3933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10042
AZ
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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