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Individual

CHELSEA SAMANTHA BRAWNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P1610159
AR
101YP2500X
Professional Counselor
Primary
P1610159
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171783795
AR
05
195280795
AR
Enumeration date
12/31/2012
Last updated
06/15/2021
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