Individual provider · Type 1 NPI

James Willis Brown, R1578750924

Addiction (Substance Use Disorder) Counselor · Azusa, CA

NPI number 1194552596 Active

Practice location

23701 E East Fork Rd
Azusa, CA 91702-1477

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1578750924 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194552596

James Willis Brown, R1578750924's National Provider Identifier is 1194552596, issued on Sep 18, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Azusa, CA. The record was last updated on Nov 6, 2025.