Healthcare Provider Details

I. General information

NPI: 1497330963
Provider Name (Legal Business Name): SABRINA BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 WILLIAM ST
TRENTON NJ
08610-6106
US

IV. Provider business mailing address

716 WILLIAM ST
TRENTON NJ
08610-6106
US

V. Phone/Fax

Practice location:
  • Phone: 609-906-1386
  • Fax:
Mailing address:
  • Phone: 609-906-1386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00423800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: