person
Kermit Ray Brown
Addiction (Substance Use Disorder) Counselor in Oakland, California
NPI 1295450930

Kermit Ray Brown is an Addiction (Substance Use Disorder) Counselor based in Oakland, CA and is specialized in Addiction (Substance Use Disorder). Kermit Ray Brown practices in Oakland, CA. The NPI Number for Kermit Ray Brown is 1295450930 and holds a License No. 14074 (California).

The current practice location address for Kermit Ray Brown is 10429 International Blvd, Oakland, CA and can be reached out via phone at 510-777-8448 and via fax at 510-777-8453.

Location: 10429 International Blvd, Oakland, CA, 94603-3221
person
Provider Profile Details
NPI Number
1295450930
Provider Name
Kermit Ray Brown
Credential
Provider Entity Type
Individual
Gender
Male
Address
10429 International Blvd, Oakland, CA, 94603-3221
Phone Number
510-777-8448
Fax Number
510-777-8453
Provider Enumeration Date
10/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10429 International Blvd
City
State
Zip
94603-3221
Phone Number
510-777-8448
Fax Number
510-777-8453
person
Provider Business Mailing Address Details
Address
10429 International Blvd
City
State
Zip
94603-3221
Phone Number
510-777-8448
Fax Number
510-777-8453
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14074 (California)
Definition
Definition to come...
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