Individual
MR. DARRYL CLARENCE BROWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
409 S OAKLAND ST, GASTONIA, NC 28052-4312
(704) 874-9005
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-9005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11341
NC
101YP2500X
Professional Counselor
A11341
NC
Other
Enumeration date
12/15/2014
Last updated
09/22/2022
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