Individual
JASON R BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
4464 S DIXIE HWY, MIDDLETOWN, OH 45005-5464
(513) 649-8008
(513) 649-8004
Mailing address
7108 PIPPIN RD, CINCINNATI, OH 45239-4605
(513) 306-8995
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2001868
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
ODADAS
OH
01
—
01-0693
CARF
OH
01
—
074946
ODMH
OH
01
—
H130910
GROUP PTAN
OH
Enumeration date
11/05/2017
Last updated
09/18/2024
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