Individual
JESSICA C BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MFT
Contact information
Practice address
2732 S BLAIRE DR, WASILLA, AK 99623-0062
(415) 757-9745
Mailing address
2732 S BLAIRE DR, WASILLA, AK 99623-0062
(415) 757-9745
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
105959
CA
106H00000X
Marriage & Family Therapist
157605
AK
106H00000X
Marriage & Family Therapist
Primary
T1436
OR
Other
Enumeration date
06/22/2017
Last updated
12/28/2022
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