Individual
JUSTIN MICHAEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5700 OLD RICHMOND AVE STE A1, RICHMOND, VA 23226-1828
(610) 476-8543
Mailing address
12406 BALTA RD, CHESTERFIELD, VA 23838-2957
(610) 476-8543
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010700
VA
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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