Individual
JASON KENT BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1305 AVENUE I, STERLING, IL 61081-2138
(520) 401-6360
Mailing address
1305 AVENUE I, STERLING, IL 61081
(520) 401-6360
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AZ
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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