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Individual

DIANA BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
503 FARRELL DRIVE, COVINGTON, KY 41011
(859) 578-3200
Mailing address
19 EAST PIKE STREET, COVINGTON, KY 41011
(859) 491-1348

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
0921
KY
101YM0800X
Mental Health Counselor
Primary
1189
KY
101YP2500X
Professional Counselor
104437
KY

Other

Enumeration date
09/29/2009
Last updated
01/29/2024
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