Individual
BETHANY J BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6127 FAIR OAKS BLVD, CARMICHAEL, CA 95608-4818
(916) 974-8090
Mailing address
310 HARRIS AVE, SUITE A, SACRAMENTO, CA 95838-3249
(916) 649-6793
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
I3950412
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I3950412
CADCA
CA
Enumeration date
07/03/2012
Last updated
07/03/2012
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