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NPI Code Detail

MEDICARE: ABE J BROWN III LPC

MEDICARE:   ABE J BROWN III LPC
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
1101YP2500XProfessional Counselor0701015917VA
2101YP2500XProfessional Counselor94906TX

General Provider Information

NPI Number : 1952141509
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABE J BROWN III LPC
Provider Business Mailing Address
First Line : 816 GREENBRIER CIR STE 100
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-2645
Country : US
Telephone Number : 804-207-6737
Fax Number : 757-301-8803
Provider Business Practice Location Address
First Line : 816 GREENBRIER CIR STE 100
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23320-2645
Country : US
Telephone Number : 804-207-6737
Fax Number : 757-301-8803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2024
Last Update Date : 04/22/2026

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