Individual provider · Type 1 NPI

Nicole Brown, PCMHT

Mental Health Counselor · Gulfport, MS

NPI number 1508463357 Active

Practice location

1600 Broad Ave
Gulfport, MS 39501-3603

Mailing address

PO Box 6705
Gulfport, MS 39506-6705

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5091 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1508463357

Nicole Brown, PCMHT's National Provider Identifier is 1508463357, issued on Oct 5, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gulfport, MS. The record was last updated on Oct 5, 2020.