Individual
MR. ISAAC BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 COOPER LAKE RD, BASTROP, LA 71220-3422
(318) 282-4260
Mailing address
1603 COOPER LAKE RD, BASTROP, LA 71220-3422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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