Individual
MR. LEE C BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
127 W ONEONTA RD, OTEGO, NY 13825-2297
(607) 432-1470
Mailing address
127 W ONEONTA RD, OTEGO, NY 13825-2297
(607) 432-1470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21174
OASAS
NY
Enumeration date
12/14/2006
Last updated
09/02/2008
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