Individual
MR. J FRED BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
2654 RIVERVIEW RD, MACON, GA 31204-1122
(678) 642-1310
Mailing address
PO BOX 293, BOLINGBROKE, GA 31004-0293
(678) 642-1310
(912) 557-7633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1122
GA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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