Individual
JADE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 WICHERS DR STE 205, MARRERO, LA 70072-3054
(504) 407-0709
Mailing address
781 BEHRMAN HWY, GRETNA, LA 70056-3087
(504) 394-1774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464581059
—
LA
Enumeration date
11/07/2015
Last updated
11/07/2015
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