Individual
MR. JOHN D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1705 N FM 179, LUBBOCK, TX 79416
(806) 797-8003
(806) 687-8455
Mailing address
1705 N FM 179, LUBBOCK, TX 79416-9441
(806) 797-8003
(806) 687-8455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065363601
—
TX
Enumeration date
09/11/2009
Last updated
09/11/2009
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