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Individual

MRS. TANYA ROSALEE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2618 BUTTERFIELD DR, FORT WORTH, TX 76133-5881
(347) 818-0386
Mailing address
2618 BUTTERFIELD DR, FORT WORTH, TX 76133-5881
(347) 818-0386

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
171M00000X
Case Manager/Care Coordinator
171W00000X
Contractor

Other

Enumeration date
05/18/2023
Last updated
07/05/2023
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