Individual
SHAVON MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
335 ECOLS ST N, MONMOUTH, OR 97361-1402
(503) 689-3342
(503) 689-3342
Mailing address
335 ECOLS ST N, MONMOUTH, OR 97361-1402
(503) 689-3342
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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