Individual
CHANTEL MONIQUE ELLIS BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BLUE MOON XING STE 3, POOLER, GA 31322-9798
(225) 402-8061
Mailing address
101 BLUE MOON XING STE 3, 323, POOLER, GA 31322-9798
(225) 402-8061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC011213
GA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
08/03/2026
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