Individual
CARISSA RENEE BROWN
Active
Individual
CARISSA RENEE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHCS
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174860324
HUMANA
NC
05
—
1174860324
—
NC
01
—
19H2H
BCBS
NC
01
—
601121-450
MAGELLAN
NC
Enumeration date
01/08/2013
Last updated
06/28/2022
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