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General NPI Number Information
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NPI Number | 1982140125
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Entity Type | Individual
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Provider Name | JEANNE BROWN LPC, CSAC
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Gender | Female
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 8273 RIVER STREET
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932-1293
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Country | US
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Telephone | 518-873-4175
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Fax | 518-873-4176
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Provider Business Mailing Address
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Address Line | 7398 US ROUTE 9
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City | ELIZABETHTOWN
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State | NY
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Zip | 12932-1716
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Country | US
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Telephone | 518-573-1703
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Fax | 703-257-7518
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701006768
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License Number State | VA
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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 | 0710103021
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License Number State | VA
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