Individual
JERNAE DICKENS-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 30TH ST NW # 107, WASHINGTON, DC 20007-3822
(301) 640-0300
Mailing address
3210 WINTERBOURNE DR, UPPER MARLBORO, MD 20774-9084
(302) 640-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC200001390
DC
101YP2500X
Professional Counselor
PRC200001390
DC
Other
Enumeration date
12/30/2018
Last updated
11/12/2022
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