Individual
AHJEALE MARIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 E 20TH ST, LOS ANGELES, CA 90011-1107
(213) 205-8221
Mailing address
1045 E 20TH ST, LOS ANGELES, CA 90011-1107
(213) 205-8221
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17693
CA
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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