Individual provider · Type 1 NPI

Jackie R. Brown

Counselor · Conway, SC

NPI number 1356363576 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Mailing address

PO Box 2234
Conway, SC 29528-2234

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1356363576

Jackie R. Brown's National Provider Identifier is 1356363576, issued on Jul 24, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Conway, SC. The record was last updated on Jul 8, 2007.