Individual
OCTAVIUS L BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSCC, LPC, LCADC
Contact information
Practice address
542 S BROADWAY APT H19, PENNSVILLE, NJ 08070-2675
(914) 261-6532
(856) 759-4467
Mailing address
542 S BROADWAY APT H19, PENNSVILLE, NJ 08070-2675
(914) 261-6532
(856) 759-4467
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
37PC00627500
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
25012
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00290600
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
37PC00627500
NJ
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
37PC00627500
NJ
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
37PC00627500
NJ
104100000X
Social Worker
—
—
Other
Enumeration date
01/10/2011
Last updated
08/29/2022
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