Individual
MS. TIA SHAWNDELL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
2313 PACIFIC ST # 2, BROOKLYN, NY 11233-4307
(347) 528-0385
Mailing address
2313 PACIFIC ST # 2, BROOKLYN, NY 11233-4307
(347) 528-0385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-22875
NY
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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