Individual
MRS. GLORIA C. BROWNE FORMAN
Active
Individual
MRS. GLORIA C. BROWNE FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAADC,LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9513
PA
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC011932
PA
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/03/2020
Last updated
05/08/2024
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