Individual provider · Type 1 NPI

Kermit Ray Brown

Addiction (Substance Use Disorder) Counselor · Oakland, CA

NPI number 1295450930 Active

Practice location

10429 International Blvd
Oakland, CA 94603-3221

Call (510) 777-8448 Map

Fax (510) 777-8453

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14074 (CA)

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

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About NPI 1295450930

Kermit Ray Brown's National Provider Identifier is 1295450930, issued on Oct 5, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oakland, CA. The record was last updated on Oct 5, 2022.