MEDICARE: DR. WANDA MARIE BROWN-RAMSEUR ED,D, LPC-S, LCAS-S,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	458	NC
2	101YP2500X	Professional Counselor	7690	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205972205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WANDA MARIE BROWN-RAMSEUR ED,D, LPC-S, LCAS-S,

Provider Business Mailing Address
First Line	:	PO BOX 79009
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27404
Country	:	US
Telephone Number	:	704-349-3789
Fax Number	:	336-638-9453

Provider Business Practice Location Address
First Line	:	1451 S ELM EUGENE ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-2200
Country	:	US
Telephone Number	:	704-349-3789
Fax Number	:	336-740-1936

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	11/09/2018

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