NPI Profile for OCTAVIUS L BROWN in PENNSVILLE TOWNSHIP, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Counselor |
101Y00000X | |||
Mental Health |
101YM0800X | |||
Pastoral |
101YP1600X | |||
Social Worker |
104100000X |
| NPI # | 1811291560 |
|
| Status | Active | |
| Credentials | MSCC, LPC, LCADC | |
| Entity | Individual | |
| Enumeration date | 01/10/2011 | |
| Last updated | 08/29/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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OCTAVIUS L BROWN
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