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Individual

MR. JIMMY D BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS CADC

Contact information

Practice address
6375 W CHARLESTON BLVD, A-172, LAS VEGAS, NV 89146-1139
(702) 877-0684
(702) 877-2108
Mailing address
PO BOX 98528, DEPT 401, LAS VEGAS, NV 89193-8528
(702) 671-6448
(702) 671-2331

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
00187C
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00187C
NV

Other

Enumeration date
12/06/2007
Last updated
12/06/2007
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