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NPI Code Detail

MEDICARE: ANGELA DAWN BROWN LCDC-III

MEDICARE: ANGELA DAWN BROWN LCDC-III
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
1101YM0800XMental Health CounselorS.2504119-TRNEOH
2101YA0400XAddiction (Substance Use Disorder) Counselor141153OH

General Provider Information

NPI Number : 1235641390
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA DAWN BROWN LCDC-III
Provider Business Mailing Address
First Line : 2065 STONERIDGE DR
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-8956
Country : US
Telephone Number : 740-500-1391
Fax Number :
Provider Business Practice Location Address
First Line : 2065 STONERIDGE DR
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-8956
Country : US
Telephone Number : 740-500-1391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2017
Last Update Date : 05/13/2025

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Directions to “ ANGELA DAWN BROWN LCDC-III” Practice Location

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