Individual
JAMES J BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW LPC
Contact information
Practice address
703 S MAIN ST, JACKSONVILLE, TX 75766-2428
(903) 586-6736
(903) 586-2412
Mailing address
703 S MAIN ST, JACKSONVILLE, TX 75766-2428
(903) 586-6736
(903) 586-2412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW00357
TX
101YM0800X
Mental Health Counselor
LPC004887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095305101
—
TX
05
—
095305103
—
TX
05
—
095305104
—
TX
Enumeration date
10/04/2005
Last updated
07/24/2008
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