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Contact Information

MARIAMA S BROWN JETERS, MA
4044 N LINCOLN AVE STE 198
CHICAGO, IL60618-3038
 Phone: 773-217-9087
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for MARIAMA S BROWN JETERS · (Female)

NPI # 1609574821
Status Active
Credentials MA
Entity Individual
Enumeration date 02/16/2023
Last updated 02/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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