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Individual

MR. JAMES EDWARD BROWN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.P.C,

Contact information

Practice address
7825 BALLANTYNE COMMONS PKWY, SUITE 110, CHARLOTTE, NC 28277-3174
(704) 446-0271
(704) 348-4057
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 446-0271
(704) 348-4057

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1550
NC
101YP2500X
Professional Counselor
3267
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1437467925
NC
05
PC1554
SC
Enumeration date
09/17/2010
Last updated
11/18/2016
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