Individual
MS. KEANETTA NICOLE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 TECH FARM RD APT D12, RUSTON, LA 71270-5484
(214) 284-2172
Mailing address
300 WASHINGTON ST, MONROE, LA 71201-6714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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