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Individual

MR. JARVELL DEVAREA BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., QP, LCAS-A

Contact information

Practice address
109 BRADFORD AVE, FAYETTEVILLE, NC 28301-5401
(910) 222-6389
Mailing address
5746 MEDICUS LN, HOPE MILLS, NC 28348-8560
(910) 222-6389

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22817
NC

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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