Organization
NIA NOIRE PLLC
Active
Organization
NIA NOIRE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BROWN LICSW (OWNER)
(909) 831-7044
Entity
Organization
Contact information
Practice address
996 MAINE AVE SW # 444, WASHINGTON, DC 20024-3440
(202) 599-5906
Mailing address
996 MAINE AVE SW # 444, WASHINGTON, DC 20024-3440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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