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NPI Code Detail

MEDICARE: JEREMY KADEEM BROWN MBA, LMHC,NCC

MEDICARE: JEREMY KADEEM BROWN MBA, LMHC,NCC
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
1101YM0800XMental Health CounselorMH21514FL

General Provider Information

NPI Number : 1356051650
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY KADEEM BROWN MBA, LMHC,NCC
Provider Business Mailing Address
First Line : 1515 N FLAGLER DR STE 101
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-3429
Country : US
Telephone Number : 561-642-1000
Fax Number : 561-804-5629
Provider Business Practice Location Address
First Line : 200 CONGRESS PARK DR STE 100
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-4618
Country : US
Telephone Number : 561-642-1000
Fax Number : 561-804-5629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2022
Last Update Date : 04/02/2024

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