Individual
JENNELL MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7140 PORT SYLVANIA DR, TOLEDO, OH 43617-1176
(419) 475-4449
Mailing address
5565 AIRPORT HWY STE 100, TOLEDO, OH 43615-7391
(419) 720-5800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2002657
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2019
Last updated
05/29/2020
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