Individual
BRENDA L BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSAA
Contact information
Practice address
60 ROAD 5575, FARMINGTON, NM 87401-1318
(505) 444-0068
Mailing address
60 ROAD 5575, FARMINGTON, NM 87401-1318
(505) 444-0068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2022-0183
NM
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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