Individual
JACQUELINE MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1255 CREEKSHIRE WAY STE 270, WINSTON SALEM, NC 27103-3061
(336) 701-3111
(888) 757-4153
Mailing address
1120 MELROSE ST, WINSTON SALEM, NC 27103-4437
(336) 937-5771
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7748
NC
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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