MEDICARE: JOCELYN L BROWNELL AMFT

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
1	101Y00000X	Counselor
2	106H00000X	Marriage & Family Therapist	138337	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427399047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOCELYN L BROWNELL AMFT

Provider Business Mailing Address
First Line	:	PO BOX 4067
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93744-4067
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1396 W HERNDON AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-7126
Country	:	US
Telephone Number	:	559-256-0100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2013
Last Update Date	:	09/12/2024

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