Individual
ETHEL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 RUE DE JEAN, LAFAYETTE, LA 70508-3388
(337) 456-7880
Mailing address
222 RUE DE JEAN, LAFAYETTE, LA 70508-3388
(337) 335-3034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
01/20/2016
Last updated
11/14/2023
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