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NPI Code Detail

MEDICARE: ELIZABETH CORINNE BROWN CDCA

MEDICARE: ELIZABETH CORINNE BROWN CDCA
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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.187939OH

General Provider Information

NPI Number : 1699458430
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH CORINNE BROWN CDCA
Provider Business Mailing Address
First Line : 6400 E BROAD ST STE 400
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2979
Country : US
Telephone Number : 614-655-3345
Fax Number :
Provider Business Practice Location Address
First Line : 2600 WAYNE AVE BLDG 61
Second Line :
City : DAYTON
State : OH
Zip : 45420-1834
Country : US
Telephone Number : 937-641-8558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2023
Last Update Date : 08/19/2024

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Directions to “ ELIZABETH CORINNE BROWN CDCA” Practice Location

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