Individual
JADA IMAN BROWN
Active
Individual
JADA IMAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CT
101YP2500X
Professional Counselor
2489
CT
101YP2500X
Professional Counselor
Primary
E.2102434
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128913207
DRIVERS LICENSE
CT
Enumeration date
06/18/2013
Last updated
07/27/2023
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