Alyssa Jene' Brown, LPC
Counselor, Professional in Fredericktown, MO. Individual provider (NPI-1).
NPI number1982240305
StatusActive
Last updated in NPPESJan 10, 2020
Details
- NPI
- 1982240305
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Jene' Brown
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2019
- Certification date
- Jan 10, 2020
- Last updated
- Jan 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2017042457 | MO | Yes |
Practice location
151 South Main Street, Suite BFredericktown, MO 63645-6364
Phone 573-561-4357
Mailing address
151 South Main StreetSuite B
Fredericktown, MO 63645-7707
Phone 573-222-0096 · Fax 573-240-8433
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