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MR. ERIE KEYTON BROWN COUNSELOR

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1669762928

Individual Registrant:
MR. ERIE KEYTON BROWN COUNSELOR
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4119 LEVELSIDE AVE APT. 15 LAKEWOOD, CA 90712-4032 US
Tel: 818-984-2370  Fax: --

Contact information for business:
4119 LEVELSIDE AVE APT. 15 LAKEWOOD, CA 90712-4032 US
Tel: 818-984-2370  Fax: --

Registration Information:
NPI: 1669762928
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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