Organization
JEN MALCOLM-BROWN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER E MALCOLM-BROWN LICSW (MANAGER/OWNER)
(413) 450-0001
Entity
Organization
Contact information
Practice address
110 N HILLSIDE RD STE 21, SOUTH DEERFIELD, MA 01373-9727
(413) 450-0001
(413) 450-0009
Mailing address
72 WENDELL RD, SHUTESBURY, MA 01072-9716
(413) 450-0001
(413) 450-0009
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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