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Individual

MISS GERALD REYNOLD BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MRC, LPCC

Contact information

Practice address
299 CRAMER CREEK CT, DUBLIN, OH 43017-2586
(614) 889-5722
(614) 889-9335
Mailing address
193 E COMO AVE, COLUMBUS, OH 43202-1210
(614) 267-4354

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0000089
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11575095
CAQH- UNIVERAL CREDENTIAL
OH
Enumeration date
07/07/2006
Last updated
07/08/2007
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