Individual provider · Type 1 NPI

Jacquette Shineese Brown

Mental Health Counselor · Mesa, AZ

NPI number 1013543750 Active

Practice location

1845 S Dobson Rd Ste 211
Mesa, AZ 85202-5663

Fax (520) 635-4758

Mailing address

20987 N John Wayne Pkwy # B104-113
Maricopa, AZ 85139-2926

Other practice locations

  • 1845 S. Dobson Road, #211, Mesa, AZ 85202 · (520) 251-1575

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X6401020212 (MI)
Mental Health Counselor Primary 101YM0800XLPC-18852 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1013543750

Jacquette Shineese Brown's National Provider Identifier is 1013543750, issued on Mar 13, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mesa, AZ. The record was last updated on Aug 9, 2023.