Individual provider · Type 1 NPI
Terrell Jermaine Brown, MS, MA, LCAC
Addiction (Substance Use Disorder) Counselor · Fort Wayne, IN
NPI number
1295577815
Active
Practice location
110 E Wayne St Fl 12
Fort Wayne, IN 46802-2611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 87001772A (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295577815
Terrell Jermaine Brown, MS, MA, LCAC's National Provider Identifier is 1295577815, issued on Jun 12, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Wayne, IN. The record was last updated on May 18, 2026.