Individual provider · Type 1 NPI

Glen Ellis Brown

Addiction (Substance Use Disorder) Counselor · Rayville, LA

NPI number 1679177422 Active

Practice location

161 Comeaux Rd
Rayville, LA 71269

Mailing address

PO Box 745
Rayville, LA 71269-0745

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4056 (LA)

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

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About NPI 1679177422

Glen Ellis Brown's National Provider Identifier is 1679177422, issued on Nov 23, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rayville, LA. The record was last updated on Nov 23, 2020.