Individual
EBONY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 RICHMOND RD # 1015, WILLIAMSBURG, VA 23185-2831
(757) 509-7236
Mailing address
1320 RICHMOND RD # 1015, WILLIAMSBURG, VA 23185-2831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
0904013957
VA
1041S0200X
School Social Worker
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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