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NPI Code Detail

MEDICARE: JULIE E BROWN LPC

MEDICARE:   JULIE E BROWN  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 Counselor1332MS

General Provider Information

NPI Number : 1093040495
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE E BROWN LPC
Provider Business Mailing Address
First Line : 300 N CLEVELAND AVE
Second Line :
City : LONG BEACH
State : MS
Zip : 39560-4739
Country : US
Telephone Number : 228-326-0119
Fax Number :
Provider Business Practice Location Address
First Line : 300 N CLEVELAND AVE
Second Line :
City : LONG BEACH
State : MS
Zip : 39560-4739
Country : US
Telephone Number : 228-326-0119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2009
Last Update Date : 02/19/2010

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Directions to “ JULIE E BROWN LPC” Practice Location

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