Individual
DR. JAMISE VALICE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,LSATP,SOTP,PH.D
Contact information
Practice address
7639 HULL STREET RD STE 102, NORTH CHESTERFIELD, VA 23235-6438
(804) 502-2167
(804) 709-3919
Mailing address
6415 OMO RD, NORTH CHESTERFIELD, VA 23234-5881
(804) 502-2167
(804) 709-3919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000716
VA
101YM0800X
Mental Health Counselor
0704014048
VA
101YP2500X
Professional Counselor
Primary
0710103686
VA
103TC1900X
Counseling Psychologist
0815000343
VA
Other
Enumeration date
07/30/2021
Last updated
03/04/2026
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