Individual
CHARDONAY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1194 CLEVELAND HEIGHTS BLVD, CLEVELAND, OH 44121-1856
(216) 200-2442
Mailing address
1194 CLEVELAND HEIGHTS BLVD, CLEVELAND, OH 44121-1856
(216) 200-2442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2103207
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396157426
—
OH
Enumeration date
05/23/2014
Last updated
11/13/2023
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