Individual
MR. CHARLES BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CAADC
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-9124
(616) 774-2173
Mailing address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-9124
(616) 774-2173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012389
MI
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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