Individual
STEPHANIE JO BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
8649 MARTIN WAY E, LACEY, WA 98516-5812
(360) 515-0070
Mailing address
8649 MARTIN WAY E, LACEY, WA 98516-5812
(360) 515-0070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61355807
WA
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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