Individual
WILLIAM BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5831 PARKSET DR, LITHIA, FL 33547-4892
(843) 817-7094
Mailing address
5831 PARKSET DR, LITHIA, FL 33547-4892
(843) 817-7094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
18067
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
9552
TX
101YM0800X
Mental Health Counselor
18067
TX
101YP2500X
Professional Counselor
Primary
18067
TX
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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