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MR. ERIE KEYTON BROWN COUNSELOR
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1669762928
Individual Registrant:MR. ERIE KEYTON BROWN COUNSELOR
Gender: M
Not Sole Proprietor
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: --
Tel: 818-984-2370 Fax: --
Contact information for business:
4119 LEVELSIDE AVE APT. 15 LAKEWOOD, CA 90712-4032 US
Tel: 818-984-2370 Fax: --
Tel: 818-984-2370 Fax: --
Registration Information:
NPI: 1669762928
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
