Individual
ANITA MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
346 FOREST BLVD, PARK FOREST, IL 60466-2005
(708) 785-4879
Mailing address
346 FOREST BLVD, PARK FOREST, IL 60466-2005
(708) 785-4879
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
29667
IL
101YM0800X
Mental Health Counselor
Primary
180.008678
IL
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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