Individual provider · Type 1 NPI
Keanetta Nicole Brown
Mental Health Counselor · Ruston, LA
NPI number
1952831406
Active
Practice location
1408 Tech Farm Rd Apt D12
Ruston, LA 71270-5484
Mailing address
300 Washington St
Monroe, LA 71201-6714
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1952831406
Keanetta Nicole Brown's National Provider Identifier is 1952831406, issued on Jun 18, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ruston, LA. The record was last updated on Jun 18, 2017.