Individual
TERRELL JERMAINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MA, LCAC
Contact information
Practice address
110 E WAYNE ST FL 12, FORT WAYNE, IN 46802-2611
(260) 409-8432
Mailing address
110 E WAYNE ST FL 12, FORT WAYNE, IN 46802-2611
(260) 409-8432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87001772A
IN
Other
Enumeration date
06/12/2024
Last updated
05/18/2026
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