Individual
KIYANIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LCMHC
Contact information
Practice address
204 FORKED OAK WAY, FOUNTAIN INN, SC 29644-8637
(980) 785-4576
Mailing address
204 FORKED OAK WAY, FOUNTAIN INN, SC 29644-8637
(980) 785-4576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17346
NC
Other
Enumeration date
03/29/2023
Last updated
09/03/2024
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