Individual provider · Type 1 NPI

Lateavia Brown, BS

Addiction (Substance Use Disorder) Counselor · Conway, SC

NPI number 1326623091 Active

Practice location

2404 Wise Rd
Conway, SC 29526-5521

Call (843) 365-8884 Map

Mailing address

3249 Mount Pisgah Cemetery Rd
Conway, SC 29526-5326

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1326623091

Lateavia Brown, BS's National Provider Identifier is 1326623091, issued on Mar 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Conway, SC. The record was last updated on Mar 15, 2021.