Individual
CAMERON DION BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1467 S 9TH ST, LOUISVILLE, KY 40208-2254
(502) 498-0908
Mailing address
1705 CRYSTAL SPRINGS AVE, OSHKOSH, WI 54902-6122
(920) 252-9024
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
175T00000X
Peer Specialist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
11/23/2022
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