Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 207PE0004X | Emergency Medical Services | 24493 | AR |
NPI | 1013400738 |
---|---|
Provider Name | Lee Brown |
First Address | North Little Rock, AR 72114-3513 |
Second Address | North Little Rock, AR 72114-3513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2018 |
Last Update Date | 15/06/2021 |