Individual
JESSICA MARIELLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 MARKET ST, PHILADELPHIA, PA 19104-3003
(610) 891-2000
Mailing address
1919 MARKET ST UNIT 1111, PHILADELPHIA, PA 19103-1942
(203) 556-0949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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