Individual
NIKITA BIANCA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1748 BERKLEY AVE, CINCINNATI, OH 45237-6114
(513) 510-2021
Mailing address
1748 BERKLEY AVE, CINCINNATI, OH 45237-6114
(513) 510-2021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OH
101YM0800X
Mental Health Counselor
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451620159
—
OH
Enumeration date
11/02/2017
Last updated
11/02/2017
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