Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 954246 | OH |
Y | 1041C0700X | Clinical Social Worker | I0007360 | OH |
NPI | 1003081720 |
---|---|
Provider Name | Ms. Patricia Brown |
First Address | Cincinnati, OH 45237-3521 |
Second Address | Cincinnati, OH 45219-2581 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 08/05/2020 |