Individual provider · Type 1 NPI

Brandon Andre Jevon James, LCMHC, LCAS-A, CRC

Mental Health Counselor · Winston Salem, NC

NPI number 1194239665 Active

Practice location

1922 S Martin Luther King Jr Dr Ste 225
Winston Salem, NC 27107-1361

Fax (336) 734-6917

Mailing address

4626 West Market Street Suite C PO Box 229
Greensboro, NC 27407

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X23683 (NC)
Rehabilitation Counselor 225C00000X00188145 (NC)
Mental Health Counselor Primary 101YM0800X13179 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1194239665

Brandon Andre Jevon James, LCMHC, LCAS-A, CRC's National Provider Identifier is 1194239665, issued on Nov 20, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 17, 2021.