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General NPI Number Information
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NPI Number | 1730514605
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Entity Type | Individual
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Provider Name | LAFRESHIA BROWN LPCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 1271 WASHINGTON AVE # 730
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City | SAN LEANDRO
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State | CA
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Zip | 94577-3646
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Country | US
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Telephone | 510-730-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 1271 WASHINGTON AVE # 730
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City | SAN LEANDRO
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State | CA
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Zip | 94577-3646
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A8110712
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | B1208310930
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 83946
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4943
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License Number State | CA
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