Individual
PORSCHIA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, MSPH
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(770) 212-1861
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(770) 212-1861
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
222Q00000X
Developmental Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2011
Last updated
12/10/2019
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