Individual
MS. CANDIDA D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA TCADC
Contact information
Practice address
1220 GREENUP AVE, ASHLAND, KY 41101-7525
(800) 805-6989
Mailing address
1220 GREENUP AVE, ASHLAND, KY 41101-7525
(800) 805-6989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5964
5964
—
05
—
5964
—
KY
Enumeration date
04/24/2020
Last updated
11/27/2023
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