Individual
JONATHAN EVERETT BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
673D OMRS/SGXW, 5955 ZEAMER AVENUE, JBER, AK 99506
(907) 580-2181
Mailing address
673D OMRS/SGXW, 5955 ZEAMER AVENUE, JBER, AK 99506
(907) 580-2181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1931
NC
1041C0700X
Clinical Social Worker
Primary
C006484
NC
Other
Enumeration date
05/23/2008
Last updated
08/23/2023
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